Individual
CARRIE ANNE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1000 W HARLEM AVE, MONMOUTH, IL 61462-1007
(309) 734-1414
(309) 734-0323
Mailing address
1000 W HARLEM AVE, MONMOUTH, IL 61462-1007
(309) 734-1414
(309) 734-0323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209019054
IL
Other
Enumeration date
03/18/2019
Last updated
12/03/2024
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