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Individual

MS. MARIAN ELIZABETH GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
628 AYLESBURY DR., NEWPORT NEWS, VA 23608
(757) 897-4845
Mailing address
628 AYLESBURY DR., NEWPORT NEWS, VA 23608
(757) 897-4845

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001130852
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024192051
VA

Other

Enumeration date
12/16/2018
Last updated
04/15/2025
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