Individual provider · Type 1 NPI
Charles Wesley Green Iii, FNP-BC, FNP-C
Family Nurse Practitioner · Sherman Oaks, CA
NPI number
1609604859
Active
Practice location
4445 Colbath Ave Apt 107
Sherman Oaks, CA 91423-3523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 784730 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1609604859
Charles Wesley Green Iii, FNP-BC, FNP-C's National Provider Identifier is 1609604859, issued on Jul 22, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sherman Oaks, CA. The record was last updated on Jul 22, 2024.