Individual provider · Type 1 NPI

Dora Renee Green, CRNA

Certified Registered Nurse Anesthetist · Port Matilda, PA

NPI number 1245217124 Active

Practice location

132 Abigail Ln
Port Matilda, PA 16870-7153

Fax (814) 272-6531

Mailing address

100 N Academy Ave Ste 6&7
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XRN264780 (PA)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1245217124

Dora Renee Green, CRNA's National Provider Identifier is 1245217124, issued on Dec 30, 2005. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Port Matilda, PA. The record was last updated on Mar 9, 2026.