NPI 1063746816
Evelet Amanda Green, RN
Practice location
- Address
- 584 Jennings Ave Bridgeport, Bridgeport, CT 06610-1114
- Phone
- (203) 371-7652
- Fax
- (203) 371-7652
- Mailing address
- 584 Jennings Avenue Bridgeport, Bridgeport, CT 06610
Registered specialties
Registered Nurse
Primary
Registry record
- NPI
- 1063746816
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Sep 2009
- Record last updated
- 28 Sep 2009
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.