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Individual
LAURA ANN GREEN
Active
Individual
LAURA ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN98189
TN
363L00000X
Nurse Practitioner
RN98189
TN
363LF0000X
Family Nurse Practitioner
Primary
APN6889
TN
363LF0000X
Family Nurse Practitioner
RN199692 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3344321
—
TN
Enumeration date
07/12/2005
Last updated
09/29/2020
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