Individual
ZACHARY BRET GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
12 E MACARTHUR ST, SHAWNEE, OK 74804-2135
(405) 275-1001
Mailing address
4517 SE 55TH ST, OKLAHOMA CITY, OK 73135-3323
(405) 343-5229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105680
OK
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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