Individual
ELAINE R GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-5830
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 845-0405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9338654
FL
363LN0000X
Neonatal Nurse Practitioner
Primary
9338654
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
F350070
NY
Other
Enumeration date
09/13/2007
Last updated
05/29/2025
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