Green, Patricia

Green, Patricia is an individual health care provider with primary practice located at 699 Rural Ave Ste 202 , Williamsport PA 17701-3250. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Green, Patricia can be contacted via phone (570) 321-3131.

Contact Information

Primary practice address
699 Rural Ave Ste 202 Williamsport PA 17701-3250
Phone: (570) 321-3131
Fax: (570) 321-3130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X UP001620G Pennsylvania

Profile Details

NPI number 1588791206
LBN Legal business name Green, Patricia
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated May 2nd, 2008 - about 16 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 1588791206 NPPES
Pennsylvania MEDICAID 1007548350001
Pennsylvania MEDICAID 1007548350033

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