Doctor Name: | MRS. ELISA PASIA GREEN |
NPI Number: | 1013158443 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN-BC |
License Number: | 26NJ00188300 |
Business Practice Address: | 16 Pocono Rd Suite 307 Denville, NJ - 078342901 |
Business Phone Number: | 9736253515 |
Business Fax Number: | 9736272842 |
Mailing Address: | 16 Pocono Rd, Suite 307 DENVILLE |
State: | NJ |
Postal Code: | 078342901 |
Phone Number: | 9736253515 |
Fax Number: | 9736272842 |
NPI Enumeration Date: | 03/15/2009 |
NPI Last Update Date: | 03/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00188300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |