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Contact Information

SAMANTHA GREEN, DNP, AGACNP-BC
11800 E 12 MILE RD
WARREN, MI48093-3472
 Phone: 586-573-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Critical Care Medicine

363LC0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SAMANTHA GREEN · (Female)

NPI Number 1114684198
Status Active
Credentials DNP, AGACNP-BC
Entity Individual
Enumeration date 11/24/2021
Last updated 06/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704307160
Hospital affiliation(s) Not Available
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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