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Individual

AMBER STAR GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1053 CENTER STREET, SC HOUSE CALLS INC, WEST COLUMBIA, SC 29169
(800) 491-0909
Mailing address
1053 CENTER STREET, SC HOUSE CALLS INC, WEST COLUMBIA, SC 29169
(800) 491-0909

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3473
SC
363LF0000X
Family Nurse Practitioner
3473
SC
363LF0000X
Family Nurse Practitioner
7443
TN
363LF0000X
Family Nurse Practitioner
F333891
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
109194
SC RN MULTI-STATE LICENSE
SC
01
111131
RN LICENSE #
TN
01
3473
APRN FOR SC
SC
01
3906732
XANTUS MEDICAID FOR TN
TN
01
4031021
BLUE CROSS BLUE SHIELD
TN
01
533744
RN LICENSE #
NY
01
533744-1
RN LICENSE
NY
01
7443
APN LICENSE
TN
01
F333891
FNP LICENSE #
NY
01
F333891-1
NURSE PRACTITIONER IN FAMILY HEALTH
NY
Enumeration date
01/16/2007
Last updated
01/03/2026
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