National Provider Identifier Database

MARY C GREEN, RN, PCNS-BC – NPI #1184978892
Pediatrics


Contact Information

MARY C GREEN, RN, PCNS-BC
1465 S GRAND BLVD
SAINT LOUIS, MO63104-1003
Phone: 314-577-5392
Fax: 314-268-6441
Website:
Specialty Taxonomy Code
* Pediatrics 163WP0200X

* Indicates primary specialty

NPI Profile & details for MARY C GREEN

NPI Number 1184978892
Credentials RN, PCNS-BC
Entity Individual
Enumeration date 11/01/2012
Last updated 11/01/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • MO License #: 079924
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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