NPI 1073521738

Ruth Ann Green, PAC

Practitioner Physician Assistant Grand Forks, ND

Practice location

Address: 4440 S Washington St. - Altru Professional Center, Grand Forks, ND 58201-7245
Phone: (701) 732-7600
Mailing address: 2401 Demers Ave, Grand Forks, ND 58201

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PAC0786 (ND)

Other Physician Assistant providers in North Dakota →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 15-00577 (KS)

Registry record

NPI: 1073521738
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2006
Record last updated: 9 Aug 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.