HENRIETTA ANNE GREEN PA-C
NPI 1548819634
Physician Assistant - Medical in Fontana, CA
About Henrietta Anne Green Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENRIETTA ANNE GREEN PA-C (NPI 1548819634) is an individual medical provider in Fontana, California and active in the NPI registry since September 2019.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FONTANA, CA 92335
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 Henrietta Green's NPI number?
The NPI number for Henrietta Green is 1548819634. It was assigned to this individual provider in the NPPES registry on September 10, 2019.
Where is Henrietta Green located?
Henrietta Green practices at 17577 Arrow Blvd, Fontana, CA 92335. The listed phone number is (909) 823-4454.
What is Henrietta Green's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
When was this NPI record last updated?
The NPPES record for Henrietta Green was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Henrietta Anne Green, PA-C · NPI 1548819634
Medical physician in Fontana, California. Individual provider, active in the CMS NPPES registry since September 10, 2019.
## Identity
- **NPI:** 1548819634 (Entity type: Individual)
- **Enumerated:** September 10, 2019
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 17577 ARROW BLVD, Fontana, CA 92335-4011
- **Phone:** (909) 823-4454
## Record status
- **NPPES last updated:** September 10, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1548819634) · Data from the CMS NPPES public registry.