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NPI Code Detail

MEDICARE: MRS. MICHELLE L GREENE

MEDICARE: MRS. MICHELLE L GREENE
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1033069562
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE L GREENE
Provider Business Mailing Address
First Line : 5321 S 138TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68137-2913
Country : US
Telephone Number : 405-895-4000
Fax Number :
Provider Business Practice Location Address
First Line : 2010 N 88TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68134-6102
Country : US
Telephone Number : 402-496-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ MRS. MICHELLE L GREENE ” Practice Location

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