Individual
ROSEANN T GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
555 S 43RD STREET, PHILADELPHIA, PA 19104-4408
(215) 685-7500
(215) 685-7551
Mailing address
555 S 43RD ST, PHILADELPHIA, PA 19104-4408
(215) 685-7500
(215) 685-7551
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP011125
PA
Other
Enumeration date
12/02/2010
Last updated
06/14/2012
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