Individual
STEPHANIE B GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4199 GATEWAY BLVD, SUITE 2600, NEWBURGH, IN 47630-8970
(812) 842-4530
(812) 842-4535
Mailing address
801 SAINT MARYS DR STE 205W, EVANSVILLE, IN 47714-0556
(812) 477-6103
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71003886A
IN
Other
Enumeration date
07/15/2011
Last updated
02/26/2021
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