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General NPI Number Information
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NPI Number | 1134162779
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Entity Type | Individual
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Provider Name | MAUREEN THERESE GREENE RN, CNS, ACNP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 1136 NORIDGE TRL
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City | PORT WASHINGTON
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State | WI
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Zip | 53074-1365
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Country | US
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Telephone | 262-268-1328
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Fax |
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Provider Business Mailing Address
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Address Line | 1136 NORIDGE TRL
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City | PORT WASHINGTON
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State | WI
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Zip | 53074-1365
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Country | US
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Telephone | 262-268-1328
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 80002
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1698-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1698
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License Number State | WI
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