Individual
DR. DANIEL ROBERT GREEN
Active
Individual
DR. DANIEL ROBERT GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, NP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041357363
IL
163W00000X
Registered Nurse
155120-30
WI
363LF0000X
Family Nurse Practitioner
Primary
209014609
IL
Other
Enumeration date
08/01/2016
Last updated
07/17/2018
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