Individual
KRISTEN SUZANNE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
621 MIDDLETOWN ODESSA RD FL 2, MIDDLETOWN, DE 19709-9602
(302) 203-2230
(302) 203-2240
Mailing address
621 MIDDLETOWN ODESSA RD FL 2, MIDDLETOWN, DE 19709-9602
(302) 203-2230
(302) 203-2240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0048860
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0011705
DE
Other
Enumeration date
10/31/2021
Last updated
09/12/2022
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