MRS. SUSAN HELEN GREEN


Address: 520 E Bethany Home Rd, Phoenix, AZ 85012-1207
Phone: 4802752022

MRS. SUSAN HELEN GREEN (NPI# 1437192978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437192978
Entity Type Individual
Full Name MRS. SUSAN HELEN GREEN
Credential FNP
Practice Address 520 E Bethany Home Rd
Phoenix
AZ 85012-1207
Mailing Address 520 E Bethany Home Rd
Phoenix
AZ 85012
Practice Telephone 4802752022
Practice Fax Number 8885516092
Mailing Telephone 4802752022
Mailing Fax Number 8885516092
Enumeration Date 2006-06-13
Last Update Date 2016-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN105876 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 088645 05

Other Providers SUSAN GREEN

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1447324033 Susan Blake Green Counselor 2500 Lincoln Dr, Abilene, TX 79601-2023 2006-11-17
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1063045128 Susan Green Physical Therapist 5615 Deauville Ste 120, Midland, TX 79706-2708 2020-02-18
1063062883 Susan M Green Registered Nurse 155 Densmore Rd, Rochester, NY 14609-1850 2019-09-13
1215447883 Susan Michele Green Physical Therapist 1825 Fortview Rd Ste 109, Austin, TX 78704-7655 2017-10-09
1790190759 Susan Green Speech-Language Pathologist 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 2014-06-27
1376888453 Susan Hopkins Green Physical Therapist 1919 112th St Sw, Everett, WA 98204-3784 2012-11-30

Office Location

Street Address 520 E BETHANY HOME RD
City PHOENIX
State AZ
Zip Code 85012-1207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760489033 Petrusia Ann Howansky Podiatrist 520 E Bethany Home Rd, Phoenix, AZ 85012-1207 2005-07-01
1821366154 Arizona Footcare, PC Podiatrist 520 E Bethany Home Rd, Phoenix, AZ 85012-1207 2011-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881205417 Diligence Physical Therapy and Wellness, Pllc Physical Therapist 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 2020-08-17
1962023135 Kelee Jade Forst Student in an Organized Health Care Education/Training Program 4001 N Third Street, Suite 290, Phoenix, AZ 85012 2020-04-29
1659911428 Thomas James Blake Social Worker Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 2020-01-09
1598259467 Luis F Fong Registered Nurse 3620 N. 3rd Street, Phoenix, AZ 85012 2018-06-14
1881196335 Phoenix Surgical Solutions Pllc Surgery 6120 W Bell Rd Suite 130, Glendale, AZ 85012 2018-03-01
1679082523 Christopher Ferguson Physician Assistant 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 2017-09-22
1861911323 Viet Quoc Truong Physician Assistant 650 E Indian School Rd # 1, Phoenix, AZ 85012 2017-09-15
1720506389 Erin Lynne Cody Nurse Practitioner 3003 N. 3rd St, Phoenix, AZ 85012 2017-09-05
1346694627 Sharareh Najafi Psychologist 3450 N. 3rd Street, Phoenix, AZ 85012 2016-04-22
1548635824 Rebekah June Daroff Specialist/Technologist 352 N Camelback Rd, Phoenix, AZ 85012 2015-12-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1649895574 Jozzette Elaine Rubio Nurse Practitioner 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 2020-06-16
1396360749 Ulivvo Inc. Nurse Practitioner 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 2020-06-11
1568087955 Christa Ann Colvin Nurse Practitioner 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 2020-06-10
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1992326102 Ashley Elizabeth Hall Nurse Practitioner 15810 N 18th St, Phoenix, AZ 85022-3302 2020-04-28
1750916797 Sebastian Freeman Smith Nurse Practitioner 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 2020-03-10
1295365724 Jessica Veasy Nurse Practitioner 7251 N 23rd Ave, Phoenix, AZ 85021-7714 2020-01-23
1568092526 Anuradha Lingamneni Nurse Practitioner 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 2020-01-18
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Competitor

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City PHOENIX
Zip Code 85012

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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