Individual provider · Type 1 NPI
Nancy Lynn Gordon-Green, R.N., M.A.
Adult Psychiatric/Mental Health Registered Nurse · Manchester, CT
NPI number
1033328752
Active
Practice location
483 Middle Tpke W, Suite #205
Manchester, CT 06040-3863
Fax (860) 632-0622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | E54252 (CT) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1033328752
Nancy Lynn Gordon-Green, R.N., M.A.'s National Provider Identifier is 1033328752, issued on May 21, 2007. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Manchester, CT. The record was last updated on Jul 8, 2007.