Individual provider · Type 1 NPI
Tina Marie Green, CRNP
Nurse Practitioner · Snow Shoe, PA
Practice location
402 E Sycamore Rd, Box 398
Snow Shoe, PA 16874-8832
Fax (814) 387-6870
Mailing address
2135 Apple Ln, Box 31
North Bend, PA 17760-9423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN520073L (PA) |
| Nurse Practitioner Primary | 363L00000X | VP006945B (PA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
About NPI 1023017050
Tina Marie Green, CRNP's National Provider Identifier is 1023017050, issued on Jul 20, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Snow Shoe, PA. The record was last updated on Sep 12, 2013.