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NPI Code Detail

MEDICARE: KARA GREEN MSN, FNP-BC

MEDICARE:   KARA  GREEN  MSN, FNP-BC
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 Practitioner791566TX
2363LF0000XFamily Nurse Practitioner290604AZ

General Provider Information

NPI Number : 1265857791
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA GREEN MSN, FNP-BC
Provider Business Mailing Address
First Line : 7500 N DREAMY DRAW DR STE 145
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-4668
Country : US
Telephone Number : 480-882-4545
Fax Number :
Provider Business Practice Location Address
First Line : 11851 N 51ST AVE STE B110
Second Line :
City : GLENDALE
State : AZ
Zip : 85304-2823
Country : US
Telephone Number : 480-882-4545
Fax Number : 623-207-7410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2014
Last Update Date : 02/05/2025

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Directions to “ KARA GREEN MSN, FNP-BC” Practice Location

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