Individual
ANNA GRACE BLACKMAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4891
(727) 893-1234
(321) 843-2196
Mailing address
701 6TH ST S, ST PETERSBURG, FL 33701-4891
(727) 893-1234
(321) 843-2196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-156236
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
137066
FL
Other
Enumeration date
06/06/2022
Last updated
01/26/2026
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