Individual provider · Type 1 NPI

Irene Bonita Green, NURSE PRACTITIONER

Acute Care Nurse Practitioner · Falls Church, VA

NPI number 1194371211 Active

Practice location

3302 Gallows Rd
Falls Church, VA 22042-3353

Mailing address

9411 Lee Hwy Apt 813
Fairfax, VA 22031-1800

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X0024177399 (VA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1194371211

Irene Bonita Green, NURSE PRACTITIONER's National Provider Identifier is 1194371211, issued on Aug 14, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Falls Church, VA. The record was last updated on Aug 14, 2019.