Individual provider · Type 1 NPI

Alexis Green

Student in an Organized Health Care Education/Training Program · Bridgeport, CT

NPI number 1003743717 Active

Practice location

115 Sherwood Ave
Bridgeport, CT 06605-1137

Call (203) 545-7432 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003743717

Alexis Green's National Provider Identifier is 1003743717, issued on May 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgeport, CT. The record was last updated on May 6, 2026.