Individual
LEANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3690 GRANDVIEW PKWY, BIRMINGHAM, AL 35243-3326
(205) 977-1949
Mailing address
3104 BLUE LAKE DR, SUITE 110, VESTAVIA, AL 35243-2345
(205) 977-1949
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-130791
AL
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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