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Individual

NOEL ILINE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(281) 844-6283
Mailing address
8742 CARPENTER RD, MONTGOMERY, TX 77356-4205
(281) 844-6283

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
1031690
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
259061
AZ

Other

Enumeration date
07/11/2021
Last updated
07/11/2021
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