Individual
STEPHANIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3825 EDWARDS RD STE 300, CINCINNATI, OH 45209-1288
(513) 221-1100
(513) 684-4501
Mailing address
PO BOX 643398, CINCINNATI, OH 45264-3398
(513) 221-1100
(513) 684-4501
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
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