Individual
VIRGINIA L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3111 GUNDERSON RD, ONALASKA, WI 54650-8447
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
WI2400033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41183000
—
WI
Enumeration date
08/23/2006
Last updated
07/08/2007
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