Individual
KAYLA ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 629-1870
Mailing address
6 SPOFFORD RD, AUBURN, NH 03032-3711
(603) 218-9356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
074259-23
NH
363LF0000X
Family Nurse Practitioner
Primary
074259-23
NH
363LP2300X
Primary Care Nurse Practitioner
074259-21
NH
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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