Individual
ELIZABETH GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 S CENTRAL CAMPUS DR STE 3525, SALT LAKE CITY, UT 84112-9199
(801) 581-4697
Mailing address
245 N VINE ST, APT 603, SALT LAKE CITY, UT 84103-1964
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7670967-4405
UT
Other
Enumeration date
05/11/2016
Last updated
10/13/2022
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