STACEY GREEN, NP
Nurse Practitioner
Active
Individual
NPI: 1053374397
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 602389 (CA) |
Frequently Asked Questions
NPI 1053374397 is the National Provider Identifier for STACEY GREEN, NP, a Nurse Practitioner provider located in Los Angeles, CA. This NPI was enumerated on April 8, 2006.
STACEY GREEN, NP practices at 200 UCLA MEDICAL PLZ STE 120, Los Angeles, CA 90095.
Quick Facts
- NPI
- 1053374397
- Type
- Individual
- Enumerated
- Apr 8, 2006
- Last Updated
- Jan 2, 2020
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