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Individual

MS. PHYLLIS R GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
WHCNP

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F-076357
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07-12543
MEDICA
05
095817400
MN
05
10025013500
NE
01
1017855
PREFERRED ONE
01
1043738
AMERICA'S PPO (ARAZ)
01
122187
UCARE
01
23511
SIOUX VALLEY HEALTH PLAN
01
32B01BE
BCBS MN
MN
01
4998568
BCBS SD (WELLMARK)
SD
01
4998913
BCBS SD (WELLMARK)
SD
05
6826080
SD
05
6826082
SD
01
HP39675
HEALTH PARTNERS
Enumeration date
01/24/2006
Last updated
11/10/2010
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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