DEBRA GREEN, MSN, C-FNP, Family ALBUQUERQUE, NM

Contact Information

DEBRA GREEN, MSN, C-FNP

1524 EUBANK BLVD NE STE 6
ALBUQUERQUE, NM 87112-4160

Phone: 505-503-8600
Fax: 888-503-8511
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Physical Medicine & Rehabilitation	208100000X	25	Physician/Physical Medicine and Rehabilitation

Indicates primary specialty

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NPI Profile & details for DEBRA GREEN · (Female)

NPI #	`1114110558`
Status	Active
Credentials	MSN, C-FNP
Entity	Individual
Enumeration date	08/20/2007
Last updated	11/15/2023 - About 3 years ago
Sole proprietor ¹	Yes
Identifiers	NM License # CNP00871 NM License # R39646 NM Medicaid 1114110558 NM Medicaid 58606823
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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DEBRA GREEN, MSN, C-FNP – NPI #1114110558Family

Contact Information

Specialty

Family

Physical Medicine & Rehabilitation

NPI Profile & details for DEBRA GREEN · (Female)

Reviews for DEBRA GREEN

DEBRA GREEN, MSN, C-FNP – NPI #1114110558
Family