Individual
PATRICIA J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601
(608) 785-0940
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
71468
WI
Other
Enumeration date
06/13/2005
Last updated
05/23/2019
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