IndividualActive
Carol Greene, NNP
NPI 1063419653 · Neonatal Nurse Practitioner · Tarzana, CA
Provider details
- NPI number
- 1063419653
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP
- Sex
- Female
- Sole proprietor
- No
- License
- 247536 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
18321 Clark St
Tarzana, CA 91356-3501
Phone: (818) 708-5242
Fax: (818) 508-5266
Approximate (ZIP-level) locationGet directions
Mailing address
19441 Romar St
Northridge, CA 91324-1139
Registry dates
- Enumerated
- 2005-06-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.