Green, Samantha
Green, Samantha is an individual health care provider with primary practice located at 11800 E 12 Mile Rd , Warren MI 48093-3472. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Green, Samantha can be contacted via phone (586) 573-5000.Contact Information
Primary practice address
11800 E 12 Mile Rd
Warren MI 48093-3472
Phone: (586) 573-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 4704307160 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 4704307160 | Michigan |
Profile Details
NPI number | 1114684198 |
---|---|
LBN Legal business name | Green, Samantha |
Credentials | DNP, AGACNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 24th, 2021 |
Last updated | Jun 13th, 2023 - 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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