Individual
DANIELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5846 NORTH 4TH ST, PHILADELPHIA, PA 19120
(267) 538-8333
Mailing address
5846 NORTH 4TH ST, PHILADELPHIA, PA 19120
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015786
PA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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