Active NPIIndividual provider

Sandra J Green, ANP

Nurse Practitioner, Adult Health in Portland, Maine

NPI Number1508050782
Practice location
716 Stevens Ave, Portland, ME 04103-2693
Fax
207-523-1913
Last updated
February 5, 2013

Sandra Jean Green is a Nurse Practitioner, Adult Health based in Portland, ME. Sandra Jean Green practices in Portland, ME and has the professional credentials of ANP. The NPI Number for Sandra Jean Green is 1508050782 and holds a License No. R027346 (ME). The current practice location address for Sandra Jean Green is 716 Stevens Ave, Portland, ME 04103-2693 and can be reached out via phone at 207-221-4242 and via fax at 207-523-1913.

Provider Profile Details

NPI Number
1508050782
Provider Name
Sandra Jean Green
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
716 Stevens Ave, Portland, ME 04103-2693
Phone Number
207-221-4242
Fax Number
207-523-1913
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2007
Last Update Date
February 5, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
716 Stevens Ave
Portland, ME 04103-2693
State
Maine
Zip
04103-2693
Phone Number
207-221-4242
Fax Number
207-523-1913
Portland, ME 04103Get directions →

Provider Business Mailing Address Details

Address
Po Box 284
Brattleboro, VT 05302-0284
City
Brattleboro
State
VT
Zip
05302-0284
Phone Number
207-784-2554
Fax Number
207-777-5363

License Information

License Number (1)
R027346
License State (1)
ME
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
AP081101
License State (2)
ME
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sandra J Green, ANP?

The NPI number of Sandra J Green, ANP is 1508050782. It was assigned on August 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Sandra J Green, ANP?

Sandra J Green, ANP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in ME under license number R027346.

Where does Sandra J Green, ANP practice?

The practice location is 716 Stevens Ave, Portland, ME 04103-2693. The office can be reached at 207-221-4242 (phone) or 207-523-1913 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508050782 directly on the NPPES registry website.

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