# EVERGREEN WOMENS HEALTH CARE PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891754974
- **Authorized official:** ALAN J GREEN M.D. (OWNER)
- **Authorized official phone:** (603) 882-0555

## Contact information

- **Practice address:** 280 MAIN ST, SUITE 131, NASHUA, NH 03060-2919
- **Practice address phone:** (603) 882-0555
- **Practice address fax:** (603) 882-0360
- **Mailing address:** 280 MAIN ST, SUITE 131, NASHUA, NH 03060-2919
- **Mailing address phone:** (603) 882-0555
- **Mailing address fax:** (603) 882-0360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 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

- **Enumeration date:** 03/19/2006
- **Last updated:** 09/28/2009

## 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 |