Green, Andrea C

Green, Andrea C is an individual health care provider with primary practice located at 350 Thomas More Pkwy Ste 280, Crestview Hills KY 41017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Green, Andrea C can be contacted via phone (859) 426-0800.

Contact Information

Primary practice address
350 Thomas More Pkwy Ste 280 Crestview Hills KY 41017
Phone: (859) 426-0800
Fax: (859) 426-4140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 55001096 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA900 Kentucky

Profile Details

NPI number 1356328231
LBN Legal business name Green, Andrea C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Oct 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356328231 NPPES
Ohio MEDICAID 0077725
Ohio MEDICAID 95006151

Popular Providers