Individual
MRS. DEBRA LYNN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1700 SOUTH FEDERAL HIGHWAY, FT LAUDERDALE, FL 33316
(954) 462-8185
Mailing address
1700 SOUTH FEDERAL HIGHWAY, CVS/MINUTE CLINIC, FORT LAUDERDALE, FL 33316
(954) 462-8185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
ARNP9192028
FL
363LF0000X
Family Nurse Practitioner
ARNP9192028
FL
Other
Enumeration date
09/24/2007
Last updated
04/06/2012
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