Individual
ANITA G GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 294-5353
(304) 294-8627
Mailing address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 294-5353
(304) 294-8627
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
04/06/2026
Last updated
07/14/2026
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