Individual provider · Type 1 NPI

Myonoway Phelps Green, CRNP

Nurse Practitioner · Glenn Dale, MD

NPI number 1801593025 Active

Practice location

12150 Annapolis Rd Ste 205
Glenn Dale, MD 20769-9183

Mailing address

12150 Annapolis Rd
Glenn Dale, MD 20769-9183

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR168335 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

3 other providers at this address

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About NPI 1801593025

Myonoway Phelps Green, CRNP's National Provider Identifier is 1801593025, issued on Feb 8, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glenn Dale, MD. The record was last updated on Aug 6, 2024.