Individual provider · Type 1 NPI
Nicole A. Green, NP
Family Nurse Practitioner · Valparaiso, IN
NPI number
1013268929
Active
Practice location
3800 St Mary Dr, Suite 103
Valparaiso, IN 46383-7502
Fax (219) 465-0032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28171988A (IN) |
| Family Nurse Practitioner Primary | 363LF0000X | 71004197A (IN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1013268929
Nicole A. Green, NP's National Provider Identifier is 1013268929, issued on Oct 2, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Valparaiso, IN. The record was last updated on Jan 31, 2013.