Individual
LISA WHITELAM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12502 USF PINE DR, TAMPA, FL 33612-9411
(813) 975-7130
(813) 975-7129
Mailing address
PO BOX 8500, LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-8115
(813) 281-8656
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9180376
FL
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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