Miss Tina Marie Green, CRNP | |
402 E Sycamore Rd, Box 398, Snow Shoe, PA 16874-8832 | |
(814) 387-6857 | |
(814) 387-6870 |
Full Name | Miss Tina Marie Green |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 402 E Sycamore Rd, Snow Shoe, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023017050 | NPI | - | NPPES |
F1104016 | Other | NATIONAL AANP-CERT | |
017968 | Other | PA | RX AUTH |
101182180 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN520073L (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | VP006945B (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
Miss Tina Marie Green, CRNP 2135 Apple Ln, Box 31, North Bend, PA 17760-9423 Ph: (570) 923-2556 | Miss Tina Marie Green, CRNP 402 E Sycamore Rd, Box 398, Snow Shoe, PA 16874-8832 Ph: (814) 387-6857 |
Patricia A Butler, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 E Sycamore Rd, Snow Shoe, PA 16874 Phone: 814-387-6857 Fax: 814-387-6870 |