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Individual

LINDA ANN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4015 GATEWAY BLVD STE 2120, NEWBURGH, IN 47630-9460
(812) 842-0907
(812) 490-7015
Mailing address
4015 GATEWAY BLVD STE 2120, NEWBURGH, IN 47630-9460
(812) 842-0907
(812) 464-4485

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28150843A
IN
363L00000X
Nurse Practitioner
Primary
71007113A
IN
363LA2100X
Acute Care Nurse Practitioner
0000
IN

Other

Enumeration date
04/12/2017
Last updated
06/15/2017
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