Green, G. Lynn

Green, G. Lynn is an individual health care provider with primary practice located at 825 Challenger Dr , Green Bay WI 54311-8328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Green, G. Lynn can be contacted via phone (920) 469-1313.

Contact Information

Primary practice address
825 Challenger Dr Green Bay WI 54311-8328
Phone: (920) 469-1313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1221-033 Wisconsin

Profile Details

NPI number 1992769897
LBN Legal business name Green, G. Lynn
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Mar 7th, 2023 - 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 1992769897 NPPES
Wisconsin MEDICAID 43908300

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