Individual
DANA RENEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 8 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 662-6035
(215) 349-5228
Mailing address
3400 SPRUCE ST, 8 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 615-6035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011957
PA
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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