Individual provider · Type 1 NPI
Sandra Jean Green, ANP
Adult Health Nurse Practitioner · Portland, ME
NPI number
1508050782
Active
Practice location
716 Stevens Ave
Portland, ME 04103-2693
Fax (207) 523-1913
Mailing address
PO Box 284
Brattleboro, VT 05302-0284
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R027346 (ME) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | AP081101 (ME) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1508050782
Sandra Jean Green, ANP's National Provider Identifier is 1508050782, issued on Aug 30, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, ME. The record was last updated on Feb 5, 2013.