Individual
KOLI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-8265
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-8265
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307183
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
673849
LICENSE #673849 NY
NY
Enumeration date
12/16/2013
Last updated
09/09/2022
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