Green, Erika Michelle

Green, Erika Michelle is an individual health care provider with primary practice located at 11312 S Berg Hollow Ln , South Jordan UT 84095-4023. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Green, Erika Michelle can be contacted via phone (801) 803-3821.

Contact Information

Primary practice address
11312 S Berg Hollow Ln South Jordan UT 84095-4023
Phone: (801) 803-3821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 10611444-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 10611444-4405 Utah

Profile Details

NPI number 1750043204
LBN Legal business name Green, Erika Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2021
Last updated Sep 11th, 2023 - about 3 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.

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