Individual
COURTNEY GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130-3318
(831) 277-9890
Mailing address
3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130-3318
(831) 277-9890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95022306
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/18/2022
Last updated
09/29/2022
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