AMANDA SUZANNE GREEN

GREENVILLE, SC
NPI1063657823
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5004239)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NC  5004239)
Enumeration Date2008-12-09
Last Update Date2024-07-24
Business Address
AMANDA SUZANNE GREEN FNP
126 MILESTONE WAY
GREENVILLE, SC 29615-5065
Phone number: 864-675-5844
Mailing Address
AMANDA SUZANNE GREEN FNP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: