Individual
AMANDA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
RN9676695
FL
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
Update your record
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