Individual provider · Type 1 NPI

Mallori Annmarie Green

Student in an Organized Health Care Education/Training Program · Broken Arrow, OK

NPI number 1356054472 Active

Practice location

19917 E 45th St S
Broken Arrow, OK 74014-8212

Call (918) 859-1387 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356054472

Mallori Annmarie Green's National Provider Identifier is 1356054472, issued on Jan 4, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Broken Arrow, OK. The record was last updated on Jan 4, 2023.