Individual
MRS. NOVETTE SANDRA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12959 PALMS WEST DR, SUITE 120, LOXAHATCHEE, FL 33470-4937
(561) 753-8888
(561) 795-5004
Mailing address
12959 PALMS WEST DR, SUITE 120, LOXAHATCHEE, FL 33470-4937
(561) 753-8888
(561) 795-5004
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9230252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017283300
—
FL
05
—
307104900
—
FL
Enumeration date
11/30/2005
Last updated
02/15/2017
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