Doctor Name: | MRS. KAREN GREENE |
NPI Number: | 1003009341 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN525052 |
Business Practice Address: | 305 E Brandon Blvd Suite 101 Brandon, FL - 335115222 |
Business Phone Number: | 8139789700 |
Business Fax Number: | |
Mailing Address: | 13020 N Telecom Pkwy, TEMPLE TERRACE |
State: | FL |
Postal Code: | 336370925 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 08/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WX0800X |
License Number: | RN525052 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |