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Organization

DEBORAH S GREENE APRN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH SKINNER GREENE APRN (OWNER)
(860) 408-4846
Entity
Organization

Contact information

Practice address
760 HOPMEADOW ST, BOX 813, SIMSBURY, CT 06070-2223
(860) 804-8684
Mailing address
760 HOPMEADOW ST, BOX 813, SIMSBURY, CT 06070-2223
(860) 804-8684

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
000837
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215073812
CT
Enumeration date
07/19/2014
Last updated
07/19/2014
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