Individual
STANLEY LEVI GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27604-5452
(919) 345-8299
Mailing address
P.O. BOX 18139, RALEIGH, NC 27604-5452
(919) 601-7811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
227251
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
085568
NC
Other
Enumeration date
06/29/2010
Last updated
07/23/2012
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