MEDICARE: HILLARY CATHLEEN GREENE FNP, RN

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
1	163W00000X	Registered Nurse	RN2306299	MA
2	163W00000X	Registered Nurse	703259-1	NY
3	363LF0000X	Family Nurse Practitioner	APRN01774	RI

General Provider Information

NPI Number	:	1871955070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILLARY CATHLEEN GREENE FNP, RN

Provider Business Mailing Address
First Line	:	1 RIVER ST
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-3214
Country	:	US
Telephone Number	:	401-767-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 RIVER ST
Second Line	:
City	:	SOUTH KINGSTOWN
State	:	RI
Zip	:	02879-3214
Country	:	US
Telephone Number	:	401-783-5646
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2016
Last Update Date	:	06/23/2025

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