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NPI Code Detail

MEDICARE: TONI LYNN GREENE

MEDICARE:   TONI LYNN 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
1376J00000XHomemaker

General Provider Information

NPI Number : 1053005629
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONI LYNN GREENE
Provider Business Mailing Address
First Line : 263 S 3200 W
Second Line :
City : WESTON
State : ID
Zip : 83286-5046
Country : US
Telephone Number : 208-940-1603
Fax Number :
Provider Business Practice Location Address
First Line : 263 S 3200 W
Second Line :
City : WESTON
State : ID
Zip : 83286-5046
Country : US
Telephone Number : 208-940-1603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2023
Last Update Date : 06/06/2023

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Directions to “ TONI LYNN GREENE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.