person
Amber Star Green, APRN
Family Nurse Practitioner in West Columbia, South Carolina
NPI 1205987047

Amber Star Green is a Family Nurse Practitioner based in West Columbia, SC and is specialized in Family. Amber Star Green practices in West Columbia, SC and has the professional credentials of APRN. The NPI Number for Amber Star Green is 1205987047 and holds a License No. F333891 (South Carolina).

The current practice location address for Amber Star Green is 1053 Center Street, West Columbia, SC and can be reached out via phone at 800-491-0909. You can also correspond with Amber Star Green through the mailing address at 1053 CENTER STREET, WEST COLUMBIA, SC - 29169 (mailing address contact number: 800-491-0909).

Location: 1053 Center Street, West Columbia, SC, 29169
person
Provider Profile Details
NPI Number
1205987047
Provider Name
Amber Star Green
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1053 Center Street, West Columbia, SC, 29169
Phone Number
800-491-0909
Fax Number
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
109194 01 SC SC RN MULTI-STATE LICENSE
111131 01 TN RN LICENSE #
3906732 01 TN XANTUS MEDICAID FOR TN
7443 01 TN APN LICENSE
4031021 01 TN BLUE CROSS BLUE SHIELD
F333891-1 01 NY NURSE PRACTITIONER IN FAMILY HEALTH
533744-1 01 NY RN LICENSE
F333891 01 NY FNP LICENSE #
3473 01 SC APRN FOR SC
533744 01 NY RN LICENSE #
institution
Provider Business Practice Location Address Details
Address
1053 Center Street
City
State
Zip
29169
Phone Number
800-491-0909
Fax Number
person
Provider Business Mailing Address Details
Address
1053 Center Street
City
State
Zip
29169
Phone Number
800-491-0909
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F333891 (New York)
Definition
Definition to come...
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