# MRS. MERRY LYN GREEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003105610
- **Gender:** F
- **Credential:** ANP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | F305656-1 | NY | Yes |

## Other

- **Enumeration date:** 04/04/2011
- **Last updated:** 04/28/2022