Provider Demographics
NPI:1457237299
Name:GREENE, CATRINA SHADIYYAH
Entity type:Individual
Prefix:
First Name:CATRINA
Middle Name:SHADIYYAH
Last Name: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 1:7000 INNOVATION DRIVE
Mailing Address - Street 2:7107
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921
Mailing Address - Country:US
Mailing Address - Phone:215-272-9601
Mailing Address - Fax:
Practice Address - Street 1:254 CHAPMAN RD # 223
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5413
Practice Address - Country:US
Practice Address - Phone:302-374-2017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No174H00000XOther Service ProvidersHealth Educator