Individual
AMY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
701 PARK AVE, HENNEPIN COUNTY MEDICAL CENTER PEDIATRIC CLINIC, MINNEAPOLIS, MN 55415
(612) 873-6963
Mailing address
701 PARK AVE, HENNEPIN COUNTY MEDICAL CENTER PEDIATRIC CLINIC, MINNEAPOLIS, MN 55415
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP 3945
MN
Other
Enumeration date
10/13/2014
Last updated
03/31/2016
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