PHYLLIS R GREEN

CEDAR RAPIDS, IA
NPI1558331439
Former NamePHYLLIS R BERG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner Women's Health
(Licence: IA  F-076357)
Enumeration Date2006-01-24
Last Update Date2010-11-10
Business Address
MS. PHYLLIS R GREEN WHCNP
3425 1ST AVE SE SUITE 100
CEDAR RAPIDS, IA 52402-6155
Phone number: 319-363-3459
Mailing Address
MS. PHYLLIS R GREEN WHCNP
3425 1ST AVE SE SUITE 100
CEDAR RAPIDS, IA 52402-6155
Phone number: 319-363-3459
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