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Individual
NICOLE A GREEN
Active
Individual
NICOLE A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
C10008651
DE
208000000X
Pediatrics Physician
C10008651
DE
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
DR-0006401
DE
208D00000X
General Practice Physician
C10008651
DE
Other
Enumeration date
03/11/2007
Last updated
10/23/2024
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