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Individual
LINDA ANN GREEN
Active
Individual
LINDA ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28150843A
IN
363L00000X
Nurse Practitioner
Primary
71007113A
IN
363LA2100X
Acute Care Nurse Practitioner
0000
IN
Other
Enumeration date
04/12/2017
Last updated
06/15/2017
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