PATRICIA ADRIANNE GREEN DNP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1144792474- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DNP
- Status
- Active
Contact & Location
- Address
- 395 W COUGAR BLVD STE 102, PROVO, UT, 846043334
- Phone
- (801) 357-8586
- Fax
- (801) 357-8586
Specialties & Taxonomies
Nurse Practitioner, Adult Health
License: UT #103806472205
Nurse Practitioner, Primary Care
License: WY #24957.1819
Nurse Practitioner
Primary License: UT #10380647-4405
All Addresses
MAILING
PO BOX 27128
SALT LAKE CITY, UT, 841270128