DEBORAH S GREENE APRN LLC NPI 1336556513

NPI Information

NPI: 1336556513
Provider Name: DEBORAH S GREENE APRN LLC
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Organization

Specialization: Psychiatric/Mental Health, Adult

Address:
760 HOPMEADOW ST
BOX 813
SIMSBURY, CT
ZIP 06070
Phone: (860) 804-8684
Get Directions

DEBORAH S GREENE APRN LLC is a psychiatric/mental health and adult clinical nurse specialist in Simsbury, CT. DEBORAH S GREENE APRN LLC NPI is 1336556513. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

760 HOPMEADOW ST
BOX 813
SIMSBURY, CT
ZIP 06070-223
Phone: (860) 804-8684

The provider's authorized official is Deborah Skinner Greene .
The authorized official title is Owner and has the following contact phone number (860) 408-4846.

The enumeration date for this NPI number is 7/19/2014 and was last updated on 7/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	000837	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S99017	MEDICARE UPIN	CONNECTICUT
2	D400003888	MEDICARE PIN	CONNECTICUT
3	1215073812	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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