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Stacey D Green, NP
Nurse Practitioner in Los Angeles, California
NPI 1053374397

Stacey D Green is a Nurse Practitioner based in Los Angeles, CA. Stacey D Green practices in Los Angeles, CA and has the professional credentials of NP. The NPI Number for Stacey D Green is 1053374397 and holds a License No. 602389 (California).

The current practice location address for Stacey D Green is 200 Ucla Medical Plz Ste 120, Los Angeles, CA and can be reached out via phone at 310-206-9260 and via fax at 310-794-1649.

Location: 200 Ucla Medical Plz Ste 120, Los Angeles, CA, 90045-5631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053374397
Provider Name
Stacey D Green
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
200 Ucla Medical Plz Ste 120, Los Angeles, CA, 90045-5631
Phone Number
310-206-9260
Fax Number
310-794-1649
Provider Enumeration Date
04/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN602389 05 CA
institution
Provider Business Practice Location Address Details
Address
200 Ucla Medical Plz Ste 120
City
Los Angeles
State
California
Zip
90095-1835
Phone Number
310-206-9260
Fax Number
310-794-1649
person
Provider Business Mailing Address Details
Address
200 Ucla Medical Plz Ste 120
City
Los Angeles
State
California
Zip
90095-1835
Phone Number
310-206-9260
Fax Number
310-794-1649
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
602389 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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