DARREA L GREEN

COLUMBIA, MO
NPI1881176121
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2018009728)
Enumeration Date2018-09-04
Last Update Date2018-09-04
Business Address
Mrs. DARREA L GREEN FNP
3700 INTERSTATE 70 DR SE
COLUMBIA, MO 65201
Phone number: 573-256-7637
Mailing Address
Mrs. DARREA L GREEN FNP
626 CASTLE RIDGE DR
WENTZVILLE, MO 63385-3245
Phone number: 314-202-1619
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