Individual
MRS. NANCY L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MIDWIFE
Contact information
Practice address
311A RADIO PARK DR, RICHMOND, KY 40475
(859) 624-2010
(859) 625-1229
Mailing address
311A RADIO PARK DR, RICHMOND, KY 40475
(859) 624-2010
(859) 625-1229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1035270
KY
176B00000X
Midwife
Primary
1864
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78000601
—
KY
01
—
78903127
GORDON SALTER MEDICAID GR
KY
Enumeration date
01/25/2007
Last updated
09/12/2007
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