Green, Elizabeth A

Green, Elizabeth A is an individual health care provider with primary practice located at 2404 Wise Rd , Conway SC 29526-5521. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Green, Elizabeth A can be contacted via phone (843) 655-9432.

Contact Information

Primary practice address
2404 Wise Rd Conway SC 29526-5521
Phone: (843) 655-9432
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 305848 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F305848 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 24243 South Carolina

Profile Details

NPI number 1427332337
LBN Legal business name Green, Elizabeth A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2011
Last updated May 18th, 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 1427332337 NPPES
New York MEDICAID 03391691

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