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Martha Kay Green
Family Nurse Practitioner in Titusville, Florida
NPI 1134366586

Martha Kay Green is a Family Nurse Practitioner based in Melbourne, FL and is specialized in Family. Martha Kay Green practices in Titusville, FL. The NPI Number for Martha Kay Green is 1134366586 and holds a License No. ARNP1800302 (Florida).

The current practice location address for Martha Kay Green is 500 N Washington Ave Ste 105, Titusville, FL and can be reached out via phone at 212-680-2673 and via fax at 321-268-3357.

Location: 500 N Washington Ave Ste 105, Titusville, FL, 32902-1137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134366586
Provider Name
Martha Kay Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 N Washington Ave Ste 105, Titusville, FL, 32902-1137
Phone Number
212-680-2673
Fax Number
321-268-3357
Provider Enumeration Date
01/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
024818900 05 FL
institution
Provider Business Practice Location Address Details
Address
500 N Washington Ave Ste 105
City
Titusville
State
Florida
Zip
32796
Phone Number
212-680-2673
Fax Number
321-268-3357
person
Provider Business Mailing Address Details
Address
500 N Washington Ave Ste 105
City
Titusville
State
Florida
Zip
32796
Phone Number
212-680-2673
Fax Number
321-268-3357
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
ARNP1800302 (Florida)
Definition
Definition to come...
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