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SANDRA JEAN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2693
(207) 221-4242
(207) 523-1913
Mailing address
PO BOX 284, BRATTLEBORO, VT 05302-0284
(207) 784-2554
(207) 777-5363

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP081101
ME
363LA2200X
Adult Health Nurse Practitioner
R027346
ME

Other

Enumeration date
08/30/2007
Last updated
02/05/2013
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