National Provider Identifier

Paula S Green, LPN

Paula S Green, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Delevan, NY and a listed phone number of (716) 560-7764.

NPI 1386701761Delevan, NYLicensed Practical Nurse

Profile Overview

NPI
1386701761
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 03, 2007
Last Updated
July 08, 2007

Practice Location

  • 17 Cobb Ave
  • Delevan, NY 14042-0162

Phone: (716) 560-7764

Mailing Address

  • 17 Cobb Ave
  • PO Box 162
  • Delevan, NY 14042-0162

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1386701761
Entity Type
Individual
Last Name
Green
First Name
Paula
Middle Name
S
Credential
LPN
Mailing Street Address
17 Cobb Ave
Mailing Address Line 2
PO Box 162
Mailing City
Delevan
Mailing State
NY
Mailing ZIP Code
14042-0162
Mailing Country
US
Mailing Phone
(716) 560-7764
Practice Street Address
17 Cobb Ave
Practice City
Delevan
Practice State
NY
Practice ZIP Code
14042-0162
Practice Country
US
Practice Phone
(716) 560-7764
Enumeration Date
January 03, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
02572012 (NY)