Individual
NATHAN ANDREW GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, PSYCHOLOGY
Contact information
Practice address
3597 VEGA CREEK DR, SAINT CLOUD, FL 34772-8317
(321) 437-8087
Mailing address
1216 PATRICK ST, KISSIMMEE, FL 34741-5534
(321) 236-1540
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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