Individual
CAROLYN RUTH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2917 INTERNATIONAL LN, MADISON, WI 53704-3135
(608) 245-3416
Mailing address
2549 VAN HISE AVE, MADISON, WI 53705-3849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1272
WI
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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