Provider Demographics
NPI:1881156784
Name:GREENE, ANNE CAITLIN (RN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:CAITLIN
Last Name:GREENE
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 CARROLL ST NW APT 467
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2093
Mailing Address - Country:US
Mailing Address - Phone:301-642-1060
Mailing Address - Fax:
Practice Address - Street 1:14812 PHYSICIANS LN STE 161
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3911
Practice Address - Country:US
Practice Address - Phone:301-529-5433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-125866163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant