National Provider Identifier
Devin T Green SR., LPN
Devin T Green SR., LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 857-2513.
Profile Overview
- NPI
- 1861662389
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 12, 2008
- Last Updated
- March 12, 2008
Practice Location
- 4577 Lake Ave Apt C
- Rochester, NY 14612-4526
Phone: (585) 857-2513
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1861662389
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Devin
- Middle Name
- T
- Name Suffix
- SR.
- Credential
- LPN
- Mailing Street Address
- 4577 Lake Ave Apt C
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-4526
- Mailing Country
- US
- Mailing Phone
- (585) 857-2513
- Practice Street Address
- 4577 Lake Ave Apt C
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-4526
- Practice Country
- US
- Practice Phone
- (585) 857-2513
- Enumeration Date
- March 12, 2008
- Last Updated
- March 12, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)