Green, Novette Sandra

Green, Novette Sandra is an individual health care provider with primary practice located at 12959 Palms West Dr Suite 120, Loxahatchee FL 33470-4937. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Green, Novette Sandra can be contacted via phone (561) 753-8888.

Contact Information

Primary practice address
12959 Palms West Dr Suite 120 Loxahatchee FL 33470-4937
Phone: (561) 753-8888
Fax: (561) 795-5004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 9230252 Florida

Profile Details

NPI number 1083698476
LBN Legal business name Green, Novette Sandra
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Feb 15th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083698476 NPPES
Florida MEDICAID 307104900
Florida MEDICAID 017283300

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