Individual
SARAH ROSE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, BSN, NP
Contact information
Practice address
834 WALNUT STREET, SUITE 650, PHILADELPHIA, PA 19107-5109
(215) 955-5161
Mailing address
111 S. 11TH STREET, 35E MICU, PHILADELPHIA, PA 19107
(215) 955-7074
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN620792
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP016810
PA
Other
Enumeration date
11/04/2016
Last updated
04/23/2018
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