| Doctor Name: | CAROL V GREENE |
| NPI Number: | 1063419653 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NNP |
| License Number: | 247536 |
| Business Practice Address: | 18321 Clark St Tarzana, CA - 913563501 |
| Business Phone Number: | 8187085242 |
| Business Fax Number: | 8185085266 |
| Mailing Address: | 19441 Romar St, NORTHRIDGE |
| State: | CA |
| Postal Code: | 913241139 |
| Phone Number: | 8184192329 |
| Fax Number: | 8188862955 |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0000X |
| License Number: | 247536 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal |
| Taxonomy Definition: | |