Greene, Nicole Marie

Greene, Nicole Marie is an individual health care provider with primary practice located at 450 S 900 E Ste 100 , Salt Lake City UT 84102-2983. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Greene, Nicole Marie can be contacted via phone (801) 456-2333.

Contact Information

Primary practice address
450 S 900 E Ste 100 Salt Lake City UT 84102-2983
Phone: (801) 456-2333
Fax: (801) 456-2330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 8483463-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 8483463-4405 Utah

Profile Details

NPI number 1538830989
LBN Legal business name Greene, Nicole Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2021
Last updated Dec 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538830989 NPPES
Utah Other 8483463-4405 APRN LICENSE

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