Green, Phyllis R

Green, Phyllis R is an sole proprietor health care provider with primary practice located at 3425 1St Ave Se Suite 100, Cedar Rapids IA 52402-6155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Green, Phyllis R can be contacted via phone (319) 363-3459.

Contact Information

Primary practice address
3425 1St Ave Se Suite 100 Cedar Rapids IA 52402-6155
Phone: (319) 363-3459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F-076357 Iowa

Profile Details

NPI number 1558331439
LBN Legal business name Green, Phyllis R
Credentials WHCNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Nov 10th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558331439 NPPES
Other 07-12543 MEDICA
Other 1043738 MEDICA
MEDICAID 095817400 MEDICA
MEDICAID 6826080 MEDICA
MEDICAID 6826082 MEDICA
Other HP39675 MEDICA
Other 23511 MEDICA
Other 122187 MEDICA
Other 32B01BE MEDICA
Other 4998913 MEDICA
MEDICAID 10025013500 MEDICA
Other 1017855 MEDICA
Other 4998568 MEDICA

Popular Providers