Individual provider · Type 1 NPI
Nicole E. Green, PA-C
Medical Physician Assistant · Bel Air, MD
NPI number
1053873786
Active
Practice location
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Fax (443) 643-1505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C0007198 (MD) |
Medical Physician Assistant: Definition to come...
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About NPI 1053873786
Nicole E. Green, PA-C's National Provider Identifier is 1053873786, issued on Apr 2, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bel Air, MD. The record was last updated on Nov 3, 2022.