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Provider Information for 1518461425

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

COURTNEY O GREEN LPN

Gender: FEMALE

Individual NPI: 1518461425

Calendar   Last Updated:  2018-03-23
  Certification Date: 

Details

Name Value
NPI 1518461425
Enumeration Date 2018-03-23
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 244 HEMPSTEAD AVE
BUFFALO, NY 14215-3404
United States

Phone: 716-831-7877 | Fax: 716-831-8666
View Map External Link
Primary Practice Address 244 HEMPSTEAD AVE
BUFFALO, NY 14215-3404
United States

Phone: 716-831-7877 | 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 315356