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Mrs. Ileana Green, FNP-C
Family Nurse Practitioner in Gary, Indiana
NPI 1477042505

Ileana Green is a Family Nurse Practitioner based in Gary, IN and is specialized in Family. Ileana Green practices in Gary, IN and has the professional credentials of FNP-C. The NPI Number for Ileana Green is 1477042505 and holds a License No. 28195095A (Indiana).

The current practice location address for Ileana Green is 1400 Broadway, Gary, IN and can be reached out via phone at 219-882-2305.

Location: 1400 Broadway, Gary, IN, 46407-1310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477042505
Provider Name
Ileana Green
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1400 Broadway, Gary, IN, 46407-1310
Phone Number
219-882-2305
Fax Number
Provider Enumeration Date
05/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 Broadway
City
Gary
State
Indiana
Zip
46407
Phone Number
219-882-2305
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Broadway
City
Gary
State
Indiana
Zip
46407
Phone Number
219-882-2305
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28195095A (Indiana)
Definition
Definition to come...
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