Individual
ANGELA-THERESA C GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 PINELLAS ST, CLEARWATER, FL 33756-3804
(727) 462-7000
Mailing address
1839 CENTRAL AVE, ST PETERSBURG, FL 33713-8900
(727) 820-1040
(727) 821-7213
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11003635
FL
363LP2300X
Primary Care Nurse Practitioner
11003635
FL
Other
Enumeration date
08/07/2019
Last updated
11/06/2019
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