Individual
CAVETTA G GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7440 SPRING VILLAGE DR, SPRINGFIELD, VA 22150-4446
(703) 923-4644
(703) 923-4625
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(703) 923-4644
(703) 923-4625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174288
VA
363LF0000X
Family Nurse Practitioner
AP9803
AZ
Other
Enumeration date
01/21/2017
Last updated
02/24/2022
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