Individual provider · Type 1 NPI
Abigail Lavinia Green, AGPCNP, DNP
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1912611658
Active
Practice location
7604 Central Ave Ste 101
Philadelphia, PA 19111-2433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP026725 (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1912611658
Abigail Lavinia Green, AGPCNP, DNP's National Provider Identifier is 1912611658, issued on Jan 9, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 9, 2023.