Individual provider · Type 1 NPI

Alycia Marie Green

Family Nurse Practitioner · Louisville, KY

NPI number 1861002099 Active

Practice location

908 Dupont Rd
Louisville, KY 40207-4602

Mailing address

PO Box 909
Louisville, KY 40201-0909

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X1104001 (KY)
Family Nurse Practitioner Primary 363LF0000X3015106 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1861002099

Alycia Marie Green's National Provider Identifier is 1861002099, issued on Aug 3, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Sep 14, 2020.