Individual
TOVA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-FAMILY
Contact information
Practice address
8811 FLAGSTONE DR, RANDALLSTOWN, MD 21133-4220
(443) 345-9448
Mailing address
8811 FLAGSTONE DR, RANDALLSTOWN, MD 21133-4220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R229095
MD
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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