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Ms. Phyllis R Green, WHCNP
Women's Health Nurse Practitioner in Cedar Rapids, Iowa
NPI 1558331439

Phyllis R Green is a Women's Health Nurse Practitioner based in Cedar Rapids, IA and is specialized in Women's Health. Phyllis R Green practices in Cedar Rapids, IA and has the professional credentials of WHCNP. The NPI Number for Phyllis R Green is 1558331439 and holds a License No. F-076357 (Iowa).

The current practice location address for Phyllis R Green is 3425 1St Ave Se, Cedar Rapids, IA and can be reached out via phone at 319-363-3459.

Location: 3425 1St Ave Se, Cedar Rapids, IA, 52402-6155
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Provider Profile Details
NPI Number
1558331439
Provider Name
Phyllis R Green
Credential
WHCNP
Provider Entity Type
Individual
Gender
Female
Address
3425 1St Ave Se, Cedar Rapids, IA, 52402-6155
Phone Number
319-363-3459
Fax Number
Provider Enumeration Date
01/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07-12543 01 MEDICA
1043738 01 AMERICA'S PPO (ARAZ)
095817400 05 MN
6826080 05 SD
6826082 05 SD
HP39675 01 HEALTH PARTNERS
23511 01 SIOUX VALLEY HEALTH PLAN
122187 01 UCARE
32B01BE 01 MN BCBS MN
4998913 01 SD BCBS SD (WELLMARK)
10025013500 05 NE
1017855 01 PREFERRED ONE
4998568 01 SD BCBS SD (WELLMARK)
institution
Provider Business Practice Location Address Details
Address
3425 1St Ave Se
City
State
Zip
52402-6155
Phone Number
319-363-3459
Fax Number
person
Provider Business Mailing Address Details
Address
3425 1St Ave Se
City
State
Zip
52402-6155
Phone Number
319-363-3459
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
F-076357 (Iowa)
Definition
Definition to come...
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