Green, Angela R.

Green, Angela R. is an individual health care provider with primary practice located at 2158 Intelliplex Dr Suite 200, Shelbyville IN 46176-8897. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Green, Angela R. can be contacted via phone (317) 392-3651.

Contact Information

Primary practice address
2158 Intelliplex Dr Suite 200 Shelbyville IN 46176-8897
Phone: (317) 392-3651
Fax: (317) 398-0538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000510 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000510A Indiana

Profile Details

NPI number 1174690713
LBN Legal business name Green, Angela R.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174690713 NPPES
Indiana MEDICAID 200221890

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