Individual
JULIA E GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 LONG WHARF DR STE 321, NEW HAVEN, CT 06511-5991
(203) 781-4624
Mailing address
1 LONG WHARF DR STE 321, NEW HAVEN, CT 06511-5946
(203) 781-4600
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
007890
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004217099
—
CT
05
—
008039745
—
CT
05
—
008056033
—
CT
05
—
008056168
—
CT
05
—
008068298
—
CT
05
—
008083771
—
CT
Enumeration date
10/10/2018
Last updated
11/20/2018
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