Individual
MISS ELIZABETH LENE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5862 HARTLE DR, INDIANAPOLIS, IN 46216-2133
(317) 760-7908
Mailing address
7009 E 56TH ST STE EE1, INDIANAPOLIS, IN 46226-1371
(317) 760-7908
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
224P00000X
Prosthetist
—
—
225700000X
Massage Therapist
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
01/07/2025
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