Individual
CHERYL LOUISE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2401 E STREET NW, DEPT OF STATE, OFFICE OF MED SERVICES, QI, WASHINGTON, DC 20522-0102
(202) 663-1663
Mailing address
2401 E STREET NW, DEPT OF STATE, OFFICE OF MED SERVICES, QI, WASHINGTON, DC 20522-0001
(202) 663-1663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2367
AZ
363A00000X
Physician Assistant
PA 218
AK
Other
Enumeration date
04/03/2007
Last updated
09/11/2025
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