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NPI Code Detail

MEDICARE: DIANA L GREENIA APRN

MEDICARE: DIANA L GREENIA APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner002809CT

General Provider Information

NPI Number : 1679551170
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA L GREENIA APRN
Provider Business Mailing Address
First Line : 21 GRAND ST
Second Line :
City : HARTFORD
State : CT
Zip : 06106-1541
Country : US
Telephone Number : 860-550-7500
Fax Number : 860-550-7529
Provider Business Practice Location Address
First Line : 21 GRAND ST
Second Line :
City : HARTFORD
State : CT
Zip : 06106-1541
Country : US
Telephone Number : 860-550-7500
Fax Number : 860-550-7529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 04/05/2011

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