Individual
CONNIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1902 HARPER RD STE ABC, BECKLEY, WV 25801-2642
(304) 253-3000
(304) 929-2038
Mailing address
1902 HARPER RD STE ABC, BECKLEY, WV 25801-2642
(304) 253-3000
(304) 929-2038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
34033
WV
363LF0000X
Family Nurse Practitioner
Primary
34033
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166829000
—
WV
Enumeration date
10/26/2005
Last updated
09/26/2025
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