Individual
MRS. ELAINE MARIE GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-3790
Mailing address
2241 SLEEPY HOLLOW DR, SHINGLE SPRINGS, CA 95682-9404
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
W217647
CA
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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