AMANDA KNIGHTLY GREEN
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1508524802- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 488 SAINT LUKES DR, MONTGOMERY, AL, 361177104
- Phone
- (334) 288-7808
- Fax
- (334) 288-8089
Specialties & Taxonomies
Urology
License: AL #1-128331
Nurse Practitioner
Primary License: AL #1-128331