Individual
MRS. IRIS IVETTE PEREZ-GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18109 PRINCE PHILIP DR, SUITE 225, OLNEY, MD 20832-1519
(301) 774-5810
(301) 774-0188
Mailing address
106 IRVING ST NW, SUITE 2700N, WASHINGTON, DC 20010-2927
(202) 723-5524
(202) 291-0512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R093718
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066M
MEDICARE GROUP
MD
01
—
066MQ065
INDIV MEDICARE
MD
01
—
409629
MEDICARE GROUP
DC
01
—
CD0361
RAILROAD MEDICARE GROUP
MD
Enumeration date
01/18/2007
Last updated
10/24/2007
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