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MISS TINA MARIE GREEN CRNP
NPI 1023017050
Nurse Practitioner in Snow Shoe, PA

Active since July 20, 2005
402 E SYCAMORE RD, BOX 398, SNOW SHOE, PA 16874(814) 387-6857(814) 387-6870 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Tina Marie Green Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS TINA MARIE GREEN CRNP (NPI 1023017050) is an individual nurse practitioner in Snow Shoe, Pennsylvania, licensed in Pennsylvania (VP006945B) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1023017050
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS TINA MARIE GREENCredential: CRNP
Location Address402 E SYCAMORE RD, BOX 398Snow Shoe, PA 16874-8832
Mailing Address2135 Apple Ln, Box 31North Bend, PA 17760-9423 · (570) 923-2556
Phone(814) 387-6857
Fax(814) 387-6870
Sole ProprietorYes
Enumeration DateJuly 20, 2005
Last NPPES UpdateSeptember 12, 2013
✔ NPI 1023017050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · VP006945B
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN520073L (PA)
402 E SYCAMORE RD, Snow Shoe, PA 16874
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Other Identifiers 5

Medicare UPINQ34134PA
Medicaid101182180PA
OtherF1104016National Aanp-cert
Medicare ID-Type Unspecified087551ROCPA
Other017968PA · Rx Auth

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA A BUTLER CRNP
Nurse Practitioner (Family)
402 E SYCAMORE RD
SNOW SHOE, PA 16874
Centre County (814) 387-6857
MOSHANNON VALLEY PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
402 E SYCAMORE RD
SNOW SHOE, PA 16874
Centre County (814) 387-4014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Green's NPI number?

The NPI number for Tina Green is 1023017050. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Tina Green located?

Tina Green practices at 402 E Sycamore Rd Box 398, Snow Shoe, PA 16874. The listed phone number is (814) 387-6857.

What is Tina Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tina Green was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.