Individual
CHERYL ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
970 E WASHINGTON ST STE 2F, MEDINA, OH 44256-2181
(330) 723-7999
(330) 764-9907
Mailing address
970 E WASHINGTON ST STE 2F, MEDINA, OH 44256-2181
(330) 723-7999
(330) 764-9907
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
023179
OH
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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