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General NPI Number Information
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NPI Number | 1982153649
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Entity Type | Individual
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Provider Name | CHRISTIE ANN GREEN FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/22/2016
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 502 W 29TH ST
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City | TUCSON
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State | AZ
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Zip | 85713-3353
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Country | US
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Telephone | 520-647-1148
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Fax |
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Provider Business Mailing Address
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Address Line | 6132 NE 12TH AVE
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City | PLEASANT HILL
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State | IA
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Zip | 50327-8911
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Country | US
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Telephone | 520-647-1148
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G167997
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61243298
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP9792
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61243298
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP9792
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A154206
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License Number State | IA
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