Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS TINA MARIE GREEN, CRNP
Active Sole ProprietorMISS TINA MARIE GREEN, CRNP is a Nurse Practitioner healthcare provider located in SNOW SHOE, Pennsylvania. NPI 1023017050 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · SNOW SHOE, PA
Registration Details
- NPI Number
- 1023017050
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2005 (21.116812341378 yrs)
- Last Updated
- Sep 12, 2013
- Licenses
-
RN520073L (PA)VP006945B (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
402 E SYCAMORE RDBOX 398SNOW SHOE, PA, 168748832Browse PA providers · Browse ZIP 16874
- Phone
- 8143876857
- Fax
- 8143876870
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.