MRS. LUCILLE MONICA GREEN APN MSN
NPI 1205059268
Registered Nurse - Psychiatric/Mental Health, Adult in Passaic, NJ
Active since April 10, 2007
About Mrs. Lucille Monica Green Apn Msn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LUCILLE MONICA GREEN APN MSN (NPI 1205059268) is an individual psychiatric/mental health, adult provider in Passaic, New Jersey, licensed in New Jersey (26NC08138300) and active in the NPI registry since April 2007.
NPPES Registry Identity
NPI1205059268
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameMRS. LUCILLE MONICA GREENCredential: APN MSN
Location Address111 LEXINGTON AVEPassaic, NJ 07055-5246
Mailing Address24 Oak StTeaneck, NJ 07666-3827 · (201) 836-1339
Phone(973) 471-8006
Fax(973) 471-1630
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205059268 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in NJ · 26NC08138300
111 LEXINGTON AVE, Passaic, NJ 07055
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Psychosomatic Medicine)
111 LEXINGTON AVE
PASSAIC, NJ 07055
PASSAIC, NJ 07055
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205059268, enumerated as an "individual" on April 10, 2007.
The provider is located at 111 LEXINGTON AVE PASSAIC, NJ 07055 and the phone number is (973) 471-8006.
Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.