Individual
DR. MARY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD MN RN
Contact information
Practice address
1010 COMMON ST, NEW ORLEANS, LA 70112-2401
(504) 568-3130
(504) 568-3134
Mailing address
1010 COMMON ST, NEW ORLEANS, LA 70112-2401
(504) 568-3130
(504) 568-3134
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
68313
LA
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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