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Dora Renee Green, CRNA
Certified Registered Nurse Anesthetist in Lafayette, Indiana
NPI 1245217124

Dora Renee Green is a Certified Registered Nurse Anesthetist based in Flossmoor, IN. Dora Renee Green practices in Lafayette, IN and has the professional credentials of CRNA. The NPI Number for Dora Renee Green is 1245217124 and holds a License No. 209.013944 (Indiana).

The current practice location address for Dora Renee Green is 2600 Greenbush St, Lafayette, IN and can be reached out via phone at 765-448-8000.

Location: 2600 Greenbush St, Lafayette, IN, 60422-2077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245217124
Provider Name
Dora Renee Green
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
2600 Greenbush St, Lafayette, IN, 60422-2077
Phone Number
765-448-8000
Fax Number
Provider Enumeration Date
12/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2247661 05 OH
728022 01 BUCKEYE
74006495 05 KY
000001092366 01 IN ANTHEM PROVIDER NUMBER
000000196948 01 ANTHEM BLUE SHIELD
300004136 05 IN
617576 01 KY WELLCARE
200371350 05 IN
institution
Provider Business Practice Location Address Details
Address
2600 Greenbush St
City
Lafayette
State
Indiana
Zip
47904-2477
Phone Number
765-448-8000
Fax Number
person
Provider Business Mailing Address Details
Address
2600 Greenbush St
City
Lafayette
State
Indiana
Zip
47904-2477
Phone Number
765-448-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
209.013944 (Illinois)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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