NPI 1003450388

Mary Elizabeth Green, LPN

Practitioner Licensed Practical Nurse Winston Salem, NC

Practice location

Address: 650 Highland Ave # 100, Winston Salem, NC 27101-4304
Phone: (336) 607-8523
Fax: (336) 773-0914
Mailing address: 284 Executive Park Dr STE 100, Concord, NC 28025-1833

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 76633 (NC)

Other Licensed Practical Nurse providers in North Carolina →

Registry record

NPI: 1003450388
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2019
Record last updated: 30 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.