Individual
SUSANNAH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6450 N CHATHAM AVE, KANSAS CITY, MO 64151-2403
(816) 741-5542
(816) 746-4262
Mailing address
6450 N CHATHAM AVE, KANSAS CITY, MO 64151-2403
(816) 741-5542
(816) 746-4262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014040183
MO
Other
Enumeration date
03/06/2015
Last updated
07/26/2022
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