Individual
DR. ABIGAIL LAVINIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP, DNP
Contact information
Practice address
7604 CENTRAL AVE STE 101, PHILADELPHIA, PA 19111-2433
(215) 707-3133
Mailing address
7604 CENTRAL AVE STE 101, PHILADELPHIA, PA 19111-2433
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP026725
PA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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