Individual
MRS. MELISSA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
219 E BROADWAY, LOUISVILLE, KY 40202-2032
(502) 587-0394
Mailing address
217 VIRGINIA CT, NEW ALBANY, IN 47150-5076
(812) 267-3197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3012041
KY
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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