Individual
SUZANNE E GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4937
(804) 565-6600
Mailing address
PO BOX 17978, SUITE 206, RICHMOND, VA 23226-7978
(804) 289-4937
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024091549
VA
Other
Enumeration date
07/29/2005
Last updated
07/17/2014
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