Individual
MARIE D GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
289 DAWKINS DR, LEWISBURG, WV 24901-9674
(304) 793-0005
Mailing address
289 DAWKINS DR, LEWISBURG, WV 24901-9674
(304) 793-0005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
66321
WV
Other
Enumeration date
08/23/2016
Last updated
01/03/2026
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