Individual
SUSAN ROBIN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
131 E CHELTEN AVE, PHILADELPHIA PUBLIC HEALTH DEPT HEALTH CARE CENTER #9, PHILADELPHIA, PA 19144
(215) 685-5701
(215) 685-5257
Mailing address
8201 HENRY AVE, C15, PHILADELPHIA, PA 19128
(215) 487-1017
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN266978L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN266978L
REGISTERED NURSE
PA
01
—
VP004121G
OBSTETRIC GYNECOLOGY
—
Enumeration date
05/02/2007
Last updated
07/08/2007
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