Individual provider · Type 1 NPI
Robert Allen Green, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Lafayette, LA
NPI number
1487328464
Active
Practice location
113 Flagg Pl Bldg B
Lafayette, LA 70508-7025
Fax (337) 279-0776
Mailing address
300 Highland View Dr
Youngsville, LA 70592-6080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 221575 (LA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1487328464
Robert Allen Green, PMHNP-BC's National Provider Identifier is 1487328464, issued on Aug 4, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lafayette, LA. The record was last updated on Jan 5, 2023.