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Sue A Green, FNP
Family Nurse Practitioner in Waterloo, New York
NPI 1083993661

Sue A Green is a Family Nurse Practitioner based in Geneva, NY and is specialized in Family. Sue A Green practices in Waterloo, NY and has the professional credentials of FNP. The NPI Number for Sue A Green is 1083993661 and holds a License No. F336853 (New York).

The current practice location address for Sue A Green is 369 E Main St, Waterloo, NY and can be reached out via phone at 315-539-4025.

Location: 369 E Main St, Waterloo, NY, 14456-1133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083993661
Provider Name
Sue A Green
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
369 E Main St, Waterloo, NY, 14456-1133
Phone Number
315-539-4025
Fax Number
Provider Enumeration Date
08/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
369 E Main St
City
Waterloo
State
New York
Zip
13165-1654
Phone Number
315-539-4025
Fax Number
person
Provider Business Mailing Address Details
Address
369 E Main St
City
Waterloo
State
New York
Zip
13165-1654
Phone Number
315-539-4025
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F336853 (New York)
Definition
Definition to come...
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