Individual
ANITA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
8001 S US HIGHWAY 75, SHERMAN, TX 75090-5707
(512) 996-9559
Mailing address
6619 DUNN ST, WACO, TX 76710-4224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
774612
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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