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Individual

STEPHANIE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.18473
OH
363L00000X
Nurse Practitioner
APRN.CNP.3011311
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0161897
OH
Enumeration date
12/07/2015
Last updated
08/20/2025
Update your record

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