Individual
MISS TINA MARIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
402 E SYCAMORE RD, BOX 398, SNOW SHOE, PA 16874-8832
(814) 387-6857
(814) 387-6870
Mailing address
2135 APPLE LN, BOX 31, NORTH BEND, PA 17760-9423
(570) 923-2556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN520073L
PA
363L00000X
Nurse Practitioner
Primary
VP006945B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017968
RX AUTH
PA
05
—
101182180
—
PA
01
—
F1104016
NATIONAL AANP-CERT
—
Enumeration date
07/20/2005
Last updated
09/12/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us