Individual
SARAH ROSE GREENE
Active
Individual
SARAH ROSE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, BSN, NP
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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