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Individual

SIERRA N GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1950 45TH ST STE 100, MUNSTER, IN 46321-3958
(219) 392-7025
(219) 392-7026
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(193) 927-0842
(219) 703-6854

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71012595A
IN

Other

Enumeration date
03/11/2022
Last updated
04/03/2026
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