Individual
MS. RENITA ARTRICE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8026
Mailing address
9635 WYDELLA ST, RIVERVIEW, FL 33569-9014
(727) 331-9796
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN11026224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118766300
—
FL
01
—
VVJ01
BCBS
FL
Enumeration date
05/08/2023
Last updated
08/14/2023
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