NPI 1275135477 · live from the CMS NPI Registry
Patricia Ann Greene, M.A.
Audiologist in Draper, UT. National Provider Identifier 1275135477, active.
NPI record
| NPI | 1275135477 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 12936 S Frontrunner Blvd Ste 100, Draper, UT 84020 |
| Practice phone | 801-462-1812 |
| Mailing address | 43812 Royal Fern Ln, California, MD 20619 |
| Enumerated | November 12, 2020 |
| Last updated | November 12, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | AU1348 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.