MISS Tina Marie Green, CRNP
NPI #1023017050 in Snow Shoe, Pennsylvania
Provider Information
- NPI Number
- 1023017050
- Entity Type
- Individual
- Name
- MISS Tina Marie Green, CRNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- CRNP
- Enumeration Date
- Jul 20, 2005
- Last Updated
- Sep 12, 2013
Practice Location
- Address
- 402 E SYCAMORE RD
- Address 2
- BOX 398
- City
- Snow Shoe
- State
- Pennsylvania
- ZIP Code
- 16874-8832
- Phone
- (814) 387-6857
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner |
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