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Contact Information

MARY A GREEN, CNM, FNP
895 DETTLOFF DR
ARCADIA, WI54612
 Phone: 608-323-3373
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for MARY A GREEN · (Female)

NPI Number 1831448299
Status Active
Credentials CNM, FNP
Entity Individual
Enumeration date 08/31/2012
Last updated 01/26/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 148862
  • WI License # 4925
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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