ELIZABETH A GREEN

CONWAY, SC
NPI1427332337
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC  24243)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NY  305848)
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F305848)
Enumeration Date2011-10-11
Last Update Date2022-05-18
Business Address
ELIZABETH A GREEN NP
2404 WISE RD
CONWAY, SC 29526-5521
Phone number: 843-655-9432
Mailing Address
ELIZABETH A GREEN NP
972 DESERT WHEATGRASS DR
MYRTLE BEACH, SC 29579-3584
Phone number: 518-312-6634