Doctor Name: | MS. DARLENE KAY GREENER |
NPI Number: | 1871620476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN125327 |
Business Practice Address: | Hwy 264 Polacca, AZ - 86042 |
Business Phone Number: | 9287376246 |
Business Fax Number: | |
Mailing Address: | Po Box 903, Walpi Housing POLACCA |
State: | AZ |
Postal Code: | 860420903 |
Phone Number: | 9287376242 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | RN125327 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |