Green, Stacy A

Green, Stacy A is an sole proprietor health care provider with primary practice located at 6480 New Hampshire Ave , Takoma MD 20912. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Green, Stacy A can be contacted via phone (301) 326-4607.

Contact Information

Primary practice address
6480 New Hampshire Ave Takoma MD 20912
Phone: (301) 326-4607
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1245590900
LBN Legal business name Green, Stacy A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2012
Last updated Oct 26th, 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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