Individual provider · Type 1 NPI

Olivia Green

Student in an Organized Health Care Education/Training Program · Mount Laurel, NJ

NPI number 1801776927 Active

Practice location

161 Gaither Dr
Mount Laurel, NJ 08054-1740

Call (800) 736-3739 Map

Mailing address

319 Princeton Rd Apt A
Haddonfield, NJ 08033-3955

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.

2 other providers at this address

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About NPI 1801776927

Olivia Green's National Provider Identifier is 1801776927, issued on Sep 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mount Laurel, NJ. The record was last updated on Sep 8, 2025.