KOURTNEY GREEN

FORT WAYNE, IN
NPI1972910602
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71005675A)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MO  2013011851)
Enumeration Date2014-07-15
Last Update Date2020-07-16
Business Address
KOURTNEY GREEN FNP
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-483-9081
Mailing Address
KOURTNEY GREEN FNP
PO BOX 392552
PITTSBURGH, PA 15251-9500
Phone number: 260-483-9081