person
Nikita Green
Medical Physician Assistant in Beltsville, Maryland
NPI 1548626500

Nikita Green is a Medical Physician Assistant based in Glen Allen, MD and is specialized in Medical. Nikita Green practices in Beltsville, MD. The NPI Number for Nikita Green is 1548626500 and holds a License No. C06054 (Maryland).

The current practice location address for Nikita Green is 10424 Baltimore Ave, Beltsville, MD and can be reached out via phone at 240-542-5987.

Location: 10424 Baltimore Ave, Beltsville, MD, 23060-9263
person
Provider Profile Details
NPI Number
1548626500
Provider Name
Nikita Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
10424 Baltimore Ave, Beltsville, MD, 23060-9263
Phone Number
240-542-5987
Fax Number
Provider Enumeration Date
01/06/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005064400 05 MD
institution
Provider Business Practice Location Address Details
Address
10424 Baltimore Ave
City
State
Zip
20705
Phone Number
240-542-5987
Fax Number
person
Provider Business Mailing Address Details
Address
10424 Baltimore Ave
City
State
Zip
20705
Phone Number
240-542-5987
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C06054 (Maryland)
Definition
Definition to come...
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