| Doctor Name: | VIRGINIA L GREEN |
| NPI Number: | 1093822686 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | WI2400033 |
| Business Practice Address: | 3111 Gunderson Rd Onalaska, WI - 546508447 |
| Business Phone Number: | 6087827300 |
| Business Fax Number: | |
| Mailing Address: | 1836 South Ave, LA CROSSE |
| State: | WI |
| Postal Code: | 546015429 |
| Phone Number: | 6087827300 |
| Fax Number: | |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | WI2400033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |