| Doctor Name: | MRS. MAUREEN THERESE GREENE |
| NPI Number: | 1134162779 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CNS, ACNP |
| License Number: | 80002 |
| Business Practice Address: | 1136 Noridge Trl Port Washington, WI - 530741365 |
| Business Phone Number: | 2622681328 |
| Business Fax Number: | |
| Mailing Address: | 1136 Noridge Trl, PORT WASHINGTON |
| State: | WI |
| Postal Code: | 530741365 |
| Phone Number: | 2622681328 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 80002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |