Provider Demographics
NPI:1851020549
Name:GREENE, BRITTNY LEIGH (APRN)
Entity type:Individual
Prefix:MS
First Name:BRITTNY
Middle Name:LEIGH
Last Name:GREENE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23555 N DESERT PEAK PKWY APT 118
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-6302
Mailing Address - Country:US
Mailing Address - Phone:941-357-6477
Mailing Address - Fax:
Practice Address - Street 1:13771 N FOUNTAIN HILLS BLVD # 114-103
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-3762
Practice Address - Country:US
Practice Address - Phone:888-662-3376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLF05220147363L00000X
AZ309347363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner