Individual
MARY A. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Contact information
Practice address
895 DETTLOFF DR, ARCADIA, WI 54612
(608) 323-3373
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4925
WI
367A00000X
Advanced Practice Midwife
148862
WI
Other
Enumeration date
08/31/2012
Last updated
01/26/2024
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