Green, Sunny Ghere

Green, Sunny Ghere is an individual health care provider with primary practice located at 1702 N Burnside Ave , Gonzales LA 70737-2141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Green, Sunny Ghere can be contacted via phone (225) 647-8319.

Contact Information

Primary practice address
1702 N Burnside Ave Gonzales LA 70737-2141
Phone: (225) 647-8319
Fax: (225) 644-5213
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP06727 Louisiana

Profile Details

NPI number 1649543752
LBN Legal business name Green, Sunny Ghere
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2012
Last updated Apr 16th, 2013 - about 11 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 1649543752 NPPES
Louisiana MEDICAID 2181319

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