Skip Navigation

Provider Information for 1588969505

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

ALLISON KRISTENE GREEN LPN

Gender: FEMALE

Individual NPI: 1588969505

Calendar   Last Updated:  2013-08-14
  Certification Date: 

Details

Name Value
NPI 1588969505
Enumeration Date 2011-01-22
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 22 LONRAN DR
ROCHESTER, NY 14624-3914
United States

Phone: 585-354-9824 | Fax:
View Map External Link
Primary Practice Address 22 LONRAN DR
ROCHESTER, NY 14624-3914
United States

Phone: 585-354-9824 | 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 302180