Individual
ANGELA MARIA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, WHNP-BC
Contact information
Practice address
1404 S MADISON AVE, MONROE, GA 30655-2816
(770) 207-4125
(770) 207-4129
Mailing address
1404 S MADISON AVE, MONROE, GA 30655-2816
(770) 207-4125
(770) 207-4129
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN080567
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000772835L
—
GA
Enumeration date
08/11/2006
Last updated
07/30/2014
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