Individual
COLLEEN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2499
(800) 748-3243
Mailing address
2632 S MOLE ST, PHILADELPHIA, PA 19145-4608
(267) 701-7371
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN742821
PA
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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