Christina Green, LPN
Individual provider Active NPI Licensed Practical Nurse · Dover, PA
NPI 1164128641 · NPPES record last updated Feb 6, 2023
Key facts
- NPI
- 1164128641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- NP290988 (PA)
- Practice address
- 80 Charles LN
Dover, PA 17315-1206 - Phone
- (171) 766-8312
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP290988 | PA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | NP290988 | PA | Yes |
Addresses
Primary practice location
80 Charles LN
Dover, PA 17315-1206
Mailing address
80 Charles LN
Dover, PA 17315-1206
Phone (171) 766-8312
Other providers in Dover, PA
- Tammy Flower
- Kylie Foust
- John Rizzari Gandionco
- George L Hamm III
- Amy Goodman
- John Grigas
- Tammy S Gross
- Bethany Guevara
- George L Hamm
- John N Harvey Jr.
All providers in Dover, PA · Licensed Practical Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.