Doctor Name: | MRS. EILEEN HARRISON GREEN |
NPI Number: | 1043618275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | L1-0041451 |
Business Practice Address: | 424 Savannah Rd Lewes, DE - 199581462 |
Business Phone Number: | 3026453750 |
Business Fax Number: | |
Mailing Address: | 424 Savannah Rd, LEWES |
State: | DE |
Postal Code: | 199581462 |
Phone Number: | 3026453750 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2014 |
NPI Last Update Date: | 12/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | L1-0041451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |