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Provider Information for 1326447772

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ANNA MARIE GREEN LPN

Gender: FEMALE

Individual NPI: 1326447772

Calendar   Last Updated:  2014-08-21
  Certification Date: 

Details

Name Value
NPI 1326447772
Enumeration Date 2014-08-21
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 759 MARSHALL RD
ROCHESTER, NY 14624-4951
United States

Phone: 585-530-9908 | Fax:
View Map External Link
Primary Practice Address 759 MARSHALL RD
ROCHESTER, NY 14624-4951
United States

Phone: 585-530-9908 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 164W00000X - Licensed Practical Nurse NY 318251-1