| Miss Tina Marie Green, CRNP | |
|
402 E Sycamore Rd, Box 398, Snow Shoe, PA 16874-8832 | |
| (814) 387-6857 | |
| (814) 387-6870 |
| Full Name | Miss Tina Marie Green |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 402 E Sycamore Rd, Snow Shoe, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023017050 | NPI | - | NPPES |
| F1104016 | Other | NATIONAL AANP-CERT | |
| 017968 | Other | PA | RX AUTH |
| 101182180 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN520073L (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | VP006945B (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Tina Marie Green, CRNP 2135 Apple Ln, Box 31, North Bend, PA 17760-9423 Ph: (570) 923-2556 | Miss Tina Marie Green, CRNP 402 E Sycamore Rd, Box 398, Snow Shoe, PA 16874-8832 Ph: (814) 387-6857 |
Patricia A Butler, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 E Sycamore Rd, Snow Shoe, PA 16874 Phone: 814-387-6857 Fax: 814-387-6870 |