Provider Demographics
NPI:1285382630
Name:BURT-GREENE, SHERIE ANN
Entity type:Individual
Prefix:
First Name:SHERIE
Middle Name:ANN
Last Name:BURT-GREENE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8877 CABOT DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4513
Mailing Address - Country:US
Mailing Address - Phone:513-612-0452
Mailing Address - Fax:
Practice Address - Street 1:8877 CABOT DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4513
Practice Address - Country:US
Practice Address - Phone:513-612-0452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care