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NPI Code Detail

MEDICARE: EMILY ANN LEA GREEN NP

MEDICARE: EMILY ANN LEA GREEN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner827461NV

General Provider Information

NPI Number : 1235920570
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ANN LEA GREEN NP
Provider Business Mailing Address
First Line : 1035 PLENTYWOOD PL
Second Line :
City : HENDERSON
State : NV
Zip : 89002-9249
Country : US
Telephone Number : 702-271-9818
Fax Number :
Provider Business Practice Location Address
First Line : 2960 SUNRIDGE HEIGHTS PKWY STE 100
Second Line :
City : HENDERSON
State : NV
Zip : 89052-4463
Country : US
Telephone Number : 725-291-5900
Fax Number : 725-291-5901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2025
Last Update Date : 05/15/2025

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