Susan Green
Nurse Anesthetist, Certified Registered in Birmingham, AL. Individual provider (NPI-1).
NPI number1760635627
StatusActive
Last updated in NPPESNov 14, 2022
Details
- NPI
- 1760635627
- Entity type
- Individual (NPI-1)
- Name
- Susan Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2008
- Certification date
- Nov 14, 2022
- Last updated
- Nov 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-100944 | AL | Yes |
Practice location
619 19th St SBirmingham, AL 35233-1900
Phone 205-934-4011
Mailing address
Po Box 55310Birmingham, AL 35255-5310
Phone 205-731-9701
Other practice locations
1717 6th Ave S
Birmingham, AL 35233-1801
Birmingham, AL 35233-1801
Phone 800-822-8816
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