| Doctor Name: | MS. JOAN N LEYRER GREENE |
| NPI Number: | 1427240480 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN CPNP |
| License Number: | 1010036281 |
| Business Practice Address: | 10 Marsett Road Suite #2 Shelburne, VT - 05482 |
| Business Phone Number: | 8029855099 |
| Business Fax Number: | 8029852366 |
| Mailing Address: | 10 Marsett Road, Suite #2 SHELBURNE |
| State: | VT |
| Postal Code: | 05482 |
| Phone Number: | 8029855099 |
| Fax Number: | 8029852366 |
| NPI Enumeration Date: | 08/14/2007 |
| NPI Last Update Date: | 08/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 1010036281 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |