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NPI Code Detail

MEDICARE: STEPHANIE L. GREEN APRN-C

MEDICARE:   STEPHANIE L. GREEN  APRN-C
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 Practitioner045324-23NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538551387
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE L. GREEN APRN-C
Provider Business Mailing Address
First Line : 20 FOUNDRY ST FL 2
Second Line :
City : CONCORD
State : NH
Zip : 03301-5419
Country : US
Telephone Number : 888-731-8994
Fax Number :
Provider Business Practice Location Address
First Line : 20 FOUNDRY ST FL 2
Second Line :
City : CONCORD
State : NH
Zip : 03301-5419
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2015
Last Update Date : 11/24/2025

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Directions to “ STEPHANIE L. GREEN APRN-C” Practice Location

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