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Individual

CHRISTOPHER GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-1400
Mailing address
4242 TURF LN, CINCINNATI, OH 45211-2428
(513) 509-4135

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
025674
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2565399
OH
Enumeration date
11/07/2019
Last updated
11/02/2020
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