Organization
GREEN HEALTH COLLECTIVE, LLC
Active
Organization
GREEN HEALTH COLLECTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA MANN APRN (OWNER/OPERATOR)
(607) 426-5939
Entity
Organization
Contact information
Practice address
270 AMITY RD STE 132, WOODBRIDGE, CT 06525-2236
(203) 318-6143
(475) 271-8574
Mailing address
270 AMITY RD STE 132, WOODBRIDGE, CT 06525-2236
(203) 318-6143
(475) 271-8574
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008063350
—
CT
Enumeration date
04/09/2024
Last updated
09/12/2024
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