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NPI Code Detail

MEDICARE: RUBY M GREENE LPN

MEDICARE:   RUBY M GREENE  LPN
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
1163WP0808XPsychiatric/Mental Health Registered NurseLPN08073NV

General Provider Information

NPI Number : 1568412021
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBY M GREENE LPN
Provider Business Mailing Address
First Line : 4000 E CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-6681
Country : US
Telephone Number : 702-968-4000
Fax Number :
Provider Business Practice Location Address
First Line : 4000 E CHARLESTON BLVD #B-130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-6681
Country : US
Telephone Number : 702-968-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 07/08/2007

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Directions to “ RUBY M GREENE LPN” Practice Location

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