Individual
ANNIE M GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1822 W 23RD AVE, APACHE JUNCTION, AZ 85120-7005
(480) 331-2823
Mailing address
1822 W 23RD AVE, APACHE JUNCTION, AZ 85120-7005
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
226498
AZ
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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