AMY GREEN
NPI 1104290295
Nurse Practitioner - Family in Lafayette, LA
Active since November 30, 2015
About Amy Green NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY GREEN (NPI 1104290295) is an individual family provider in Lafayette, Louisiana, licensed in Louisiana (RN096295) and active in the NPI registry since November 2015.
NPPES Registry Identity
NPI1104290295
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY GREEN
Location Address4801 AMBASSADOR CAFFERY PKWYLafayette, LA 70508-6917
Mailing AddressPo Box 375Cade, LA 70519-0375 · (337) 278-9159
Phone(337) 278-9159
Sole ProprietorYes
Enumeration DateNovember 30, 2015
✔ NPI 1104290295 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · RN096295
4801 AMBASSADOR CAFFERY PKWY, Lafayette, LA 70508
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Anesthetist, Certified Registered
4801 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
Nurse Anesthetist, Certified Registered
4801 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
Radiology (Diagnostic Radiology)
4801 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104290295, enumerated as an "individual" on November 30, 2015.
The provider is located at 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA 70508 and the phone number is (337) 278-9159.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
