MEDICARE: MS. ANNE VALLERIA GREENSTONE 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	163WC1500X	Community Health Registered Nurse	C216401	CA

General Provider Information

NPI Number	:	1659594711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNE VALLERIA GREENSTONE RN

Provider Business Mailing Address
First Line	:	3020 BOUNDARY ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92104-5209
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3020 CHILDRENS WAY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4223
Country	:	US
Telephone Number	:	858-966-7455
Fax Number	:

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	12/14/2025

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