Individual
DOROTHY MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
454 MCDOWELL ST, WELCH, WV 24801-2029
(304) 436-8461
Mailing address
PO BOX 294, OCEANA, WV 24870-0294
(304) 682-2097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
74119
WV
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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