DR. MAUREEN THERESE GREENE (NPI# 1134162779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134162779 |
| Entity Type | Individual |
| Full Name | DR. MAUREEN THERESE GREENE |
| Credential | RN, CNS, ACNP |
| Practice Address |
1136 Noridge Trl Port Washington WI 53074-1365 |
| Practice Telephone | 2622681328 |
| Mailing Telephone | 2622681328 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1698-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
80002 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1136 NORIDGE TRL |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| Find all providers in zip 53074 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772702 | Ashley Zimmerman | Nurse Practitioner | W316s2978 Short Rd, Waukesha, WI 53188-9120 | 2020-08-27 |
| 1073141495 | Judith Hummel | Nurse Practitioner | 18125 Prairie Falcon Ln, Brookfield, WI 53045-6316 | 2020-03-31 |
| 1982258828 | Amanda Nesta | Nurse Practitioner | 1812 E Howard Ave, Milwaukee, WI 53207-4000 | 2019-07-29 |
| 1720591035 | Kelyn Marie Levy | Nurse Practitioner | 9200 W Wisconsin Ave Ste 5200, Milwaukee, WI 53226-3522 | 2017-11-08 |
| 1376087775 | Connie Endvick | Nurse Practitioner | 425 Pine Ridge Blvd Ste 200, Wausau, WI 54401-4123 | 2016-12-05 |
| 1538545728 | Katherine Lee Alvarez | Nurse Practitioner | 3200 Pleasat Valley Road, West Bend, WI 53095-9274 | 2015-08-11 |
| 1821475120 | Amin Namazi | Nurse Practitioner | 725 American Ave., Prohealth Care Waukesha Memorial Hospital, Waukesha, WI 53188-5099 | 2015-05-06 |
| 1356775183 | Urvil M Patel | Nurse Practitioner | 4025 N 92 St., Wauwatosa, WI 53222 | 2013-08-28 |
| 1295008399 | Amanda Fischer | Nurse Practitioner | 2435 Sumac Dr, Racine, WI 53402-1487 | 2012-02-21 |
| 1801124904 | Jennifer Ottelien | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 300, Milwaukee, WI 53215-3660 | 2009-12-01 |
| Find all providers with the same taxonomy | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
Please comment or provide details below to improve the information on DR. MAUREEN THERESE GREENE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.