Green, Nicole A

Green, Nicole A is an individual health care provider with primary practice located at 3800 St Mary Dr Suite 103, Valparaiso IN 46383-7502. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Green, Nicole A can be contacted via phone (219) 464-2123.

Contact Information

Primary practice address
3800 St Mary Dr Suite 103 Valparaiso IN 46383-7502
Phone: (219) 464-2123
Fax: (219) 465-0032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28171988A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004197A Indiana

Profile Details

NPI number 1013268929
LBN Legal business name Green, Nicole A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2012
Last updated Jan 31st, 2013 - about 13 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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