Provider Demographics
NPI:1730487885
Name:GREENE, MARGARET ELIZABETH (CRNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:GREENE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7585 BRIGHAM DR
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30350-5617
Mailing Address - Country:US
Mailing Address - Phone:770-856-7490
Mailing Address - Fax:
Practice Address - Street 1:1000 UNIVERSITY CENTER LN # H-1102
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-7409
Practice Address - Country:US
Practice Address - Phone:678-407-5675
Practice Address - Fax:404-855-4226
Is Sole Proprietor?:No
Enumeration Date:2011-03-13
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP010440363LA2200X
PASP011897363LF0000X
GARN196671363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health