Individual provider · Type 1 NPI
Amy Green
Family Nurse Practitioner · Lafayette, LA
NPI number
1104290295
Active
Practice location
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Mailing address
PO Box 375
Cade, LA 70519-0375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN096295 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104290295
Amy Green's National Provider Identifier is 1104290295, issued on Nov 30, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lafayette, LA. The record was last updated on Nov 30, 2015.