Individual
MS. SUSAN LEE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM MSN
Contact information
Practice address
3569 RIDGE RD, CLEVELAND, OH 44102-5443
(216) 281-0872
(216) 281-9565
Mailing address
3569 RIDGE RD, CLEVELAND, OH 44102-5443
(216) 281-0872
(216) 281-9565
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NM03522
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162881
—
OH
01
—
341300581053
CARESOURCE
OH
01
—
740493
BUCKEYE
OH
Enumeration date
05/03/2006
Last updated
12/21/2011
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