Individual
AMY A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2010 BROOKWOOD MEDICAL CENTER DRIVE, BIRMINGHAM, AL 35216
(205) 989-1080
(205) 989-1087
Mailing address
2151 OLD ROCKY RIDGE, #106, BIRMINGHAM, AL 35216
(205) 989-1080
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1082067
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430079110
RR MEDICARE
AL
05
—
51113132
—
AL
Enumeration date
11/15/2005
Last updated
09/03/2010
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