Search › Pennsylvania › 363L00000X
Tina Green, CRNP
NPI 1023017050 · on the registry since 2005 · sole proprietor
Practice
- Address
- 402 E Sycamore Rd
Box 398
Snow Shoe, PA 16874 - Phone
- (814) 387-6857
- Fax
- (814) 387-6870
- Organisation at this address
- Moshannon Valley Pharmacy Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania