Individual
AMY M GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
865 DESHONG DR, PARIS, TX 75460-9313
(903) 785-4521
Mailing address
422 COUNTY ROAD 43400, PARIS, TX 75462-1625
(903) 905-2143
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN178273
GA
Other
Enumeration date
08/31/2006
Last updated
07/21/2016
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