Individual
MRS. ANNETTE LYNN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
727 HOSPITAL DR, HOSPITALIST DEPARTMENT, SHELBYVILLE, KY 40065-1660
(502) 647-4000
(502) 647-4338
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 367-3360
(502) 367-3365
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007896
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100259920
—
KY
Enumeration date
08/02/2013
Last updated
11/25/2013
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