Individual
HOLLIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
104 PARKVIEW DR, GRANTSVILLE, MD 21536-1086
(301) 895-5107
(301) 533-3299
Mailing address
191 ORMAND ST, FROSTBURG, MD 21532-1528
(301) 697-8379
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R220028
MD
Other
Enumeration date
08/06/2019
Last updated
12/01/2020
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