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Mrs. Katheryn Green, NP
Family Nurse Practitioner in Chandler, Texas
NPI 1891734489

Katheryn Green is a Family Nurse Practitioner based in Chandler, TX and is specialized in Family. Katheryn Green practices in Chandler, TX and has the professional credentials of NP. The NPI Number for Katheryn Green is 1891734489 and holds a License No. 630050 (Texas).

The current practice location address for Katheryn Green is 533 Pecos St, Chandler, TX and can be reached out via phone at 903-849-5173 and via fax at 903-849-2818.

Location: 533 Pecos St, Chandler, TX, 75758-9444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891734489
Provider Name
Katheryn Green
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
533 Pecos St, Chandler, TX, 75758-9444
Phone Number
903-849-5173
Fax Number
903-849-2818
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
177762501 05 TX
630050 01 TX NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
533 Pecos St
City
Chandler
State
Texas
Zip
75758-9444
Phone Number
903-849-5173
Fax Number
903-849-2818
person
Provider Business Mailing Address Details
Address
533 Pecos St
City
Chandler
State
Texas
Zip
75758-9444
Phone Number
903-849-5173
Fax Number
903-849-2818
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
630050 (Texas)
Definition
Definition to come...
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