Green, Mary A.

Green, Mary A. is an individual health care provider with primary practice located at 895 Dettloff Dr , Arcadia WI 54612. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Green, Mary A. can be contacted via phone (608) 323-3373.

Contact Information

Primary practice address
895 Dettloff Dr Arcadia WI 54612
Phone: (608) 323-3373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 148862 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4925 Wisconsin

Profile Details

NPI number 1831448299
LBN Legal business name Green, Mary A.
Credentials CNM, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2012
Last updated Jan 26th, 2024 - about last year

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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