Individual
MARY LAUREN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
2400 PRATT ST, DURHAM, NC 27705-3976
(404) 502-7235
Mailing address
2400 PRATT ST, DURHAM, NC 27705-3976
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN199248
GA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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