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Organization
EVERGREEN WOMENS HEALTH CARE PLLC
Active
Organization
EVERGREEN WOMENS HEALTH CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN J GREEN M.D. (OWNER)
(603) 882-0555
Entity
Organization
Contact information
Practice address
280 MAIN ST, SUITE 131, NASHUA, NH 03060-2919
(603) 882-0555
(603) 882-0360
Mailing address
280 MAIN ST, SUITE 131, NASHUA, NH 03060-2919
(603) 882-0555
(603) 882-0360
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VE0102X
Reproductive Endocrinology Physician
—
NULL
207VE0102X
Reproductive Endocrinology Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
NULL
363LW0102X
Women's Health Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30212533
—
NH
01
—
30D1022401
CLIA
NH
01
—
3407428
AETNA HEALTHCARE
NH
01
—
696747
TUFTS HEALTH PLAN
MA
01
—
701468000
MAGELLAN BEHAVIORAL
NH
01
—
80031
HEALTHSOURCE
NH
01
—
M18351
BCBSMA
MA
Enumeration date
03/19/2006
Last updated
09/28/2009
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