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NPI Code Detail

MEDICARE: NICOLE GREENE

MEDICARE:   NICOLE  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
1163WH0200XHome Health Registered Nurse854263TX

General Provider Information

NPI Number : 1689154916
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE GREENE
Provider Business Mailing Address
First Line : 3043 CIMARRON PASS DR
Second Line :
City : SPRING
State : TX
Zip : 77373-8647
Country : US
Telephone Number : 838-215-1937
Fax Number :
Provider Business Practice Location Address
First Line : 3043 CIMARRON PASS DR
Second Line :
City : SPRING
State : TX
Zip : 77373-8647
Country : US
Telephone Number : 183-221-5193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2018
Last Update Date : 08/16/2018

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Directions to “ NICOLE GREENE ” Practice Location

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