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Individual

IZASKUN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA, DNP

Contact information

Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5511
Mailing address
6801 SW 129TH AVE APT 5, MIAMI, FL 33183-2466
(786) 308-6981

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
125397
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11001004
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11001004
APRN
FL
01
125397
NATIONAL BOARD OF CERTIFICATION FOR NURSE ANESTHESIA
FL
Enumeration date
01/01/2019
Last updated
03/29/2019
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