Individual
MRS. CAROLYN SUE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
510 WASHINGTON ST W, CHARLESTON, WV 25302-2036
(304) 344-9834
(304) 344-1756
Mailing address
PO BOX 20580, CHARLESTON, WV 25362-1580
(304) 344-9834
(304) 344-1756
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN76239NP
WV
Other
Enumeration date
12/10/2013
Last updated
05/01/2024
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