Provider Demographics
NPI:1063716298
Name:GREENE, OLA MURL (GNP)
Entity type:Individual
Prefix:
First Name:OLA
Middle Name:MURL
Last Name:GREENE
Suffix:
Gender:F
Credentials:GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 937
Mailing Address - Street 2:
Mailing Address - City:HEMPHILL
Mailing Address - State:TX
Mailing Address - Zip Code:75948-0937
Mailing Address - Country:US
Mailing Address - Phone:409-584-1969
Mailing Address - Fax:409-584-1754
Practice Address - Street 1:103 TIMBERLAND HWY
Practice Address - Street 2:
Practice Address - City:PINELAND
Practice Address - State:TX
Practice Address - Zip Code:75968-4012
Practice Address - Country:US
Practice Address - Phone:409-584-1969
Practice Address - Fax:409-584-1754
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX561693163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology