Individual
ANNA MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8787 N OWASSO EXPY STE J, OWASSO, OK 74055-4482
(918) 851-7988
Mailing address
7469 N 198TH EAST CT, OWASSO, OK 74055-5966
(918) 851-7988
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
48512
OK
Other
Enumeration date
03/12/2019
Last updated
06/06/2020
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