Nicole A Green, NP Valid NPI

Individual provider · Family Nurse Practitioner · Valparaiso, IN

NPI

1013268929

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

71004197A (IN)

Sex

Female

Sole proprietor

No

Enumerated

2012-10-02

Last updated

2013-01-31