Individual
DANIELLE R GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RN2310299
MA
363L00000X
Nurse Practitioner
Primary
RN2310299
MA
363LA2100X
Acute Care Nurse Practitioner
RN2310299
MA
Other
Enumeration date
01/18/2022
Last updated
02/05/2026
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