National Provider Identifier

Chrystal Renee Greene, LPN

Chrystal Renee Greene, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Newark, NY and a listed phone number of (315) 359-1967.

NPI 1609332592Newark, NYLicensed Practical Nurse

Profile Overview

NPI
1609332592
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 15, 2019
Last Updated
February 15, 2019

Practice Location

  • 1035 Woodhill
  • Newark, NY 14513-2047

Phone: (315) 359-1967

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1609332592
Entity Type
Individual
Last Name
Greene
First Name
Chrystal
Middle Name
Renee
Credential
LPN
Mailing Street Address
1035 Woodhill
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-2047
Mailing Country
US
Mailing Phone
(315) 359-1967
Practice Street Address
1035 Woodhill
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-2047
Practice Country
US
Practice Phone
(315) 359-1967
Enumeration Date
February 15, 2019
Last Updated
February 15, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)