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Athena Kathleen Greene, LPN

Licensed Practical Nurse in Plymouth Meeting, PA. Individual provider (NPI-1).

NPI number1982257697
StatusActive
Last updated in NPPESJul 22, 2019

Details

NPI
1982257697
Entity type
Individual (NPI-1)
Name
Mrs. Athena Kathleen Greene
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 22, 2019
Last updated
Jul 22, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse0002082087VAYes

Practice location

2250 Hickory Rd Ste 240
Plymouth Meeting, PA 19462-2225

Phone 302-781-4251

Mailing address

14304 Jeffries Rd Apt 705
Woodbridge, VA 22191-2722

Phone 443-600-8757

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