Individual
COLLEEN M GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1260 S CAMPBELL AVE, GREEN VALLEY, AZ 85614-0504
(520) 407-5600
Mailing address
6450 W BLUE STAR DR, TUCSON, AZ 85757-8496
(520) 260-6763
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
239266
AZ
Other
Enumeration date
03/08/2020
Last updated
05/12/2020
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