DEBORAH S GREENE APRN LLC NPI 1336556513

NPI Information

  • NPI: 1336556513
  • Provider Name: DEBORAH S GREENE APRN LLC
  • Classification: Clinical Nurse Specialist - 364SP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Organization
  • Address: 760 HOPMEADOW ST
    BOX 813
    SIMSBURY, CT
    ZIP 06070
  • Phone: (860) 804-8684

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NPI Details

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
1364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult000837CONNECTICUTYes

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 Other Provider Identifier Issuer
1S99017MEDICARE UPINCONNECTICUT
2D400003888MEDICARE PINCONNECTICUT
31215073812MEDICAIDCONNECTICUT

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: 3/30/2025

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