person
Mr. Luke Greene, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Centralia, Washington
NPI 1134423056

Luke Greene is a Psychiatric/Mental Health Nurse Practitioner based in Centralia, WA and is specialized in Psychiatric/Mental Health. Luke Greene practices in Centralia, WA and has the professional credentials of PMHNP. The NPI Number for Luke Greene is 1134423056 and holds a License No. 716210 (Washington).

The current practice location address for Luke Greene is 2428 W Reynolds Ave, Centralia, WA and can be reached out via phone at 360-330-9044 and via fax at 360-736-3139.

Location: 2428 W Reynolds Ave, Centralia, WA, 98531-4554
person
Provider Profile Details
NPI Number
1134423056
Provider Name
Luke Greene
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
2428 W Reynolds Ave, Centralia, WA, 98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
Provider Enumeration Date
01/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2428 W Reynolds Ave
City
State
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
person
Provider Business Mailing Address Details
Address
2428 W Reynolds Ave
City
State
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
22194 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
716210 (California)
Definition
Definition to come...
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