DR. STACY ROBIN GREEN M.D. NPI 1558686162

NPI Information

NPI: 1558686162
Provider Name: DR. STACY ROBIN GREEN, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
3985 WONDERLAND HILL AVE STE 107
BOULDER, CO
ZIP 80304
Phone: (303) 717-2521
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DR. Stacy Robin Green, M.D. is a general practice in Boulder, CO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Stacy Robin Green, M.D. NPI is 1558686162. 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:

3985 WONDERLAND HILL AVE STE 107
BOULDER, CO
ZIP 80304-038
Phone: (303) 717-2521

The enumeration date for this NPI number is 4/7/2010 and was last updated on 1/27/2021.

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	101Y00000X	Counselor				No
2	208D00000X	General Practice		50364	COLORADO	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: 4/28/2024

NPI Synchronization or Removal

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