Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | F332331 | NY |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | F400829 | NY |
NPI | 1023123916 |
---|---|
Provider Name | Margaret Loretta Greenwood |
First Address | Troy, NY 12180 |
Second Address | Guilderland, NY 12084 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 20/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CC8540 | PIN (01) | |
P55844 | (02) |