Individual provider · Type 1 NPI
Darrea L. Green, FNP
Family Nurse Practitioner · Columbia, MO
NPI number
1881176121
Active
Practice location
3700 Interstate 70 Dr SE
Columbia, MO 65201
Mailing address
626 Castle Ridge Dr
Wentzville, MO 63385-3245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2018009728 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1881176121
Darrea L. Green, FNP's National Provider Identifier is 1881176121, issued on Sep 4, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, MO. The record was last updated on Sep 4, 2018.