Green, Penny M

Green, Penny M is an individual health care provider with primary practice located at 725 S James Campbell Blvd , Columbia TN 38401-5962. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Green, Penny M can be contacted via phone (931) 728-5607.

Contact Information

Primary practice address
725 S James Campbell Blvd Columbia TN 38401-5962
Phone: (931) 728-5607
Fax: (931) 728-8354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 11236 Tennessee

Profile Details

NPI number 1760425409
LBN Legal business name Green, Penny M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 9th, 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 1760425409 NPPES
Tennessee MEDICAID 3627696
Tennessee MEDICAID 3627699
Tennessee Other 4027418

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