Individual
ERSULAR GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13681 KITTY HAWK WAY, APT. 301, WOODBRIDGE, VA 22191-5234
(989) 992-6693
Mailing address
13681 KITTY HAWK WAY, APT. 301, WOODBRIDGE, VA 22191-5234
(989) 992-6693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001235443
VA
163W00000X
Registered Nurse
Primary
RN1026078
DC
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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