Individual provider · Type 1 NPI

Angela Greene, PA-C

Medical Physician Assistant · Woodbury, MN

NPI number 1972648962 Active

Practice location

1811 Weir Dr Ste 270
Woodbury, MN 55125-6741

Fax (651) 714-9647

Mailing address

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10039 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1972648962

Angela Greene, PA-C's National Provider Identifier is 1972648962, issued on Feb 20, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Woodbury, MN. The record was last updated on Jan 18, 2019.