Individual
ALYSSA RAQUEL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
525 VERDAE BLVD STE 200, GREENVILLE, SC 29607-4021
(864) 272-0388
Mailing address
2885 W DUSKYWING DR, TUCSON, AZ 85741-5263
(678) 896-7797
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26029
SC
Other
Enumeration date
04/17/2019
Last updated
06/14/2022
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