SANDRA JEAN GREEN ANP NPI 1508050782

NPI Information

  • NPI: 1508050782
  • Provider Name: SANDRA JEAN GREEN, ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 716 STEVENS AVE
    PORTLAND, ME
    ZIP 04103
  • Phone: (207) 221-4242

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NPI Details

Sandra Jean Green, ANP is an adult health nurse practitioner in Portland, ME. Sandra Jean Green, ANP NPI is 1508050782. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

716 STEVENS AVE
PORTLAND, ME
ZIP 04103-693
Phone: (207) 221-4242
Fax: (207) 523-1913

The enumeration date for this NPI number is 8/30/2007 and was last updated on 2/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthR027346MAINENo
2363LA2200XNurse PractitionerAdult HealthAP081101MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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