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MARYELLEN BOCZAR GREEN F.N.P.
NPI 1285817924
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since December 17, 2007
5500 CAMPANILE DR, SDSU STUDENT HEALTH SERVICES, SAN DIEGO, CA 92182(619) 594-5281(619) 594-3638 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maryellen Boczar Green F.n.p. NPPES

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

MARYELLEN BOCZAR GREEN F.N.P. (NPI 1285817924) is an individual student in an organized health care education/training program in San Diego, California, licensed in California (347863) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1285817924
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARYELLEN BOCZAR GREENCredential: F.N.P.
Location Address5500 CAMPANILE DR, SDSU STUDENT HEALTH SERVICESSan Diego, CA 92182-0001
Mailing Address5500 Campanile Drive, Student Health ServicesSan Diego, CA 92182-4701 · (619) 594-5281 · Fax (619) 594-3638
Phone(619) 594-5281
Fax(619) 594-3638
Sole ProprietorNo
Enumeration DateDecember 17, 2007
✔ NPI 1285817924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · 347863
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5500 CAMPANILE DR, San Diego, CA 92182
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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.

SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES
Clinic/Center
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-4325
MS. TERESA RENEE BERTINO NP
Nurse Practitioner (Adult Health)
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-6681
MARTIN GREENBERG
Psychiatry & Neurology (Psychiatry)
5500 CAMPANILE DR, STUDENT HEALTH-SDSU
SAN DIEGO, CA 92182
San Diego County (619) 594-7316
DR. GREGG ALAN LICHTENSTEIN M.D.
Family Medicine (Adult Medicine)
5500 CAMPANILE DR, STUDENT HEALTH SERVICES SAN DIEGO STATE UNIVERSITY
SAN DIEGO, CA 92182
San Diego County (619) 594-5281
SUE ANN HADLEY APRN
Nurse Practitioner
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-2770
CAROL A BOYLE NP
Nurse Practitioner (Family)
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-6681
MS. JILL MARIE DAVIS-PRICKETT NP
Nurse Practitioner (Family)
5500 CAMPANILE DR
SAN DIEGO, CA 92182
San Diego County (619) 594-6681
DEBORAH BALL FNP
Nurse Practitioner (Family)
5500 CAMPANILE DR, SAN DIEGO STATE UNIVERSITY
SAN DIEGO, CA 92182
San Diego County (619) 594-6681

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 Maryellen Green's NPI number?

The NPI number for Maryellen Green is 1285817924. It was assigned to this individual provider in the NPPES registry on December 17, 2007.

Where is Maryellen Green located?

Maryellen Green practices at 5500 Campanile Dr Sdsu Student Health Services, San Diego, CA 92182. The listed phone number is (619) 594-5281.

What is Maryellen Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Maryellen Green was last updated on December 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.