MISS Nicole A Green, NP
NPI #1013268929 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1013268929
- Entity Type
- Individual
- Name
- MISS Nicole A Green, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Oct 2, 2012
- Last Updated
- Jan 31, 2013
Practice Location
- Address
- 3800 ST MARY DR
- Address 2
- SUITE 103
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-7502
- Phone
- (219) 464-2123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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