Provider Demographics
NPI:1871955070
Name:GREENE, HILLARY CATHLEEN (FNP, RN)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:CATHLEEN
Last Name:GREENE
Suffix:
Gender:F
Credentials:FNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155R SUMMER ST
Mailing Address - Street 2:APT 15
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-2622
Mailing Address - Country:US
Mailing Address - Phone:949-742-0447
Mailing Address - Fax:
Practice Address - Street 1:1 RIVER ST
Practice Address - Street 2:
Practice Address - City:SOUTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02879-3214
Practice Address - Country:US
Practice Address - Phone:401-783-5646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY703259-1163W00000X
MARN2306299163W00000X
RIAPRN01774363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse