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Individual

MR. ROGER A. GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
6630 S MCCARRAN BLVD STE A12, RENO, NV 89509-6114
(775) 221-7400
(775) 657-6551
Mailing address
6630 S MCCARRAN BLVD STE A12, RENO, NV 89509-6114
(775) 221-7400

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2829342
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN002022
NV

Other

Enumeration date
07/03/2006
Last updated
03/17/2020
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