MISS Evelet Amanda Green, RN
NPI #1063746816 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1063746816
- Entity Type
- Individual
- Name
- MISS Evelet Amanda Green, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Sep 28, 2009
- Last Updated
- Sep 28, 2009
Practice Location
- Address
- 584 JENNINGS AVE
- Address 2
- BRIDGEPORT
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06610-1114
- Phone
- (203) 371-7652
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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