# MS. ANN GREEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1033406772
- **Gender:** F
- **Credential:** N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 40401395 | NY | Yes |

## Other

- **Enumeration date:** 07/01/2011
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00355940 | AGENCY MEDICAID \# | NY |
| 01 | — | 1285628552 | AGENCY NPI NUMBER | NY |
| 01 | — | WVE061 | AGENCY MEDICARE \# | NY |