National Provider Identifier
Nichole Green, PA
Nichole Green, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Olean, NY and a listed phone number of (716) 372-0141.
Profile Overview
- NPI
- 1376535393
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 16, 2005
- Last Updated
- February 16, 2012
Practice Location
- 535 Main St
- Olean, NY 14760-1513
Phone: (716) 372-0141
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1376535393
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Nichole
- Credential
- PA
- Mailing Street Address
- 535 Main St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1513
- Mailing Country
- US
- Mailing Phone
- (716) 372-0141
- Mailing Fax
- (716) 372-6421
- Practice Street Address
- 535 Main St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1513
- Practice Country
- US
- Practice Phone
- (716) 372-0141
- Practice Fax
- (716) 372-6421
- Enumeration Date
- August 16, 2005
- Last Updated
- February 16, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)