Individual
MRS. ERICA LYNN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1001 BLYTHE BLVD, CHARLOTTE, NC 28203-5866
(704) 355-0000
Mailing address
2116 WILLOW MANOR RD, CHARLOTTE, NC 28209-1502
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5206
NC
Other
Enumeration date
05/26/2015
Last updated
11/30/2023
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