SANDRA JEAN GREEN ANP NPI 1508050782

NPI Information

NPI: 1508050782
Provider Name: SANDRA JEAN GREEN, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
716 STEVENS AVE
PORTLAND, ME
ZIP 04103
Phone: (207) 221-4242
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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
1	363LA2200X	Nurse Practitioner	Adult Health	R027346	MAINE	No
2	363LA2200X	Nurse Practitioner	Adult Health	AP081101	MAINE	Yes

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: 11/14/2023

NPI Synchronization or Removal

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