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Individual

RITA GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
44572 W BOWLIN RD, MARICOPA, AZ 85138-4558
(520) 568-2245
(520) 568-2316
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP 60502642
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
240170
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235517244
WA
Enumeration date
05/11/2015
Last updated
10/05/2021
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