MARY EVANS GREENE
NPI 1104258276
Nurse Practitioner in Berwyn, PA

Q: What is Mary Evans Greene's NPI number?

The NPI number for Mary Evans Greene is 1104258276. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Q: What is Mary Evans Greene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Evans Greene was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2013

685 KROMER AVE, BERWYN, PA 19312(109) 950-1006(109) 950-4006 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2020, Jan 31, 2020 (2 updates tracked since 2020).

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About Mary Evans Greene NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY EVANS GREENE (NPI 1104258276) is an individual nurse practitioner in Berwyn, Pennsylvania, licensed in Pennsylvania (SP013002) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1104258276

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY EVANS GREENE

Location Address685 KROMER AVEBerwyn, PA 19312-1392

Mailing Address685 Kromer AveBerwyn, PA 19312-1392 · (109) 950-1006 · Fax (109) 950-4006

Phone(109) 950-1006

Fax(109) 950-4006

Sole ProprietorNo

Enumeration DateJuly 31, 2013

Last NPPES UpdateMay 27, 20202 updates tracked since enumeration

NPPES CertifiedMay 27, 2020

✔ NPI 1104258276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP013002

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

685 KROMER AVE, Berwyn, PA 19312

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Evans Greene's NPI number?

The NPI number for Mary Evans Greene is 1104258276. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Where is Mary Evans Greene located?

Mary Evans Greene practices at 685 Kromer Ave, Berwyn, PA 19312. The listed phone number is (109) 950-1006.

What is Mary Evans Greene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Evans Greene was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.