Individual
NATALIE ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5757
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009256A
IN
Other
Enumeration date
08/05/2019
Last updated
09/06/2024
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