Green, Anna M

Green, Anna M is an individual health care provider with primary practice located at 110 Jensen Ct Suite 1C, Thousand Oaks CA 91360-7483. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Green, Anna M can be contacted via phone (805) 494-7740.

Contact Information

Primary practice address
110 Jensen Ct Suite 1C Thousand Oaks CA 91360-7483
Phone: (805) 494-7740
Fax: (805) 494-7714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 375262 California

Profile Details

NPI number 1811186984
LBN Legal business name Green, Anna M
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Oct 15th, 2007 - about 17 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 1811186984 NPPES
California Other 375262 RN LICENSE NUMBER

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