Individual
CATHERINE PATRICIA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
5500 ELLSWORTH RD, FORT SMITH, AR 72903-3222
(479) 242-2411
Mailing address
PO BOX 3007, FORT SMITH, AR 72913-3007
(479) 242-2411
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
P01086
AR
364SM0705X
Medical-Surgical Clinical Nurse Specialist
S01041
AR
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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