Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHELDRA A GREEN
ActiveETHELDRA A GREEN is a Social Worker healthcare provider located in BRISTOL, Florida. NPI 1467094128 is currently active in the NPPES registry. Verify at CMS.
Social Worker · BRISTOL, FL
Registration Details
- NPI Number
- 1467094128
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2019 (6.6457642264472 yrs)
- Last Updated
- Oct 15, 2019
- License
-
ISW13573 (FL)
Practice Information
- Address
-
10611 NW SR 20BRISTOL, FL, 323213232Browse FL providers · Browse ZIP 32321
- Phone
- 8506431033
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in BRISTOL, FL
| Name | Credential | NPI |
|---|---|---|
| TODD C TERRY | — | 1235603267 |
| JESSICA MICHELLE SHEARER | — | 1609424100 |
| KENNESSE DEW | — | 1306496229 |
| TAI ZIMMERMAN COLE | — | 1205459583 |
| TRACEY MARIE AITTAMA | MSW | 1295334241 |
| MONICA WHITFIELD | — | 1548860455 |
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.