Mr. Stephen Mark Green CRNA

NPI 1881679595

Information of Mr. Stephen Mark Green CRNA

The NPI 1881679595 is an Individual type. NPI No 1881679595 belongs to Stephen Mark Green. Mr. Stephen Mark Green CRNA specializes in Nurse Anesthetist, Certified Registered. He is practising at 1376 Acworth Rd, Charlestown, New Hampshire 03603. You can also contact him via phone number (603) 826-0039.

Practice address located

  • 1376 Acworth Rd
  • Charlestown, New Hampshire 03603
  • (603) 826-0039
  • (603) 826-0039

Mailling address located

  • 1376 Acworth Rd
  • Charlestown, New Hampshire 03603
  • (512) 787-0690
  • Not available
Mr. Stephen Mark Green CRNA is PECOS enrolled.
NPI No 1881679595
Primary Taxonomy
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes367500000XNurse Anesthetist, Certified Registered059893-23New Hampshire
No367500000XNurse Anesthetist, Certified Registered101-003249Vermont
No367500000XNurse Anesthetist, Certified Registered1082Texas
No367500000XNurse Anesthetist, Certified Registered201260025COregon
No367500000XNurse Anesthetist, Certified RegisteredAP30004631Washington
No367500000XNurse Anesthetist, Certified RegisteredRN271326Massachusetts
No367500000XNurse Anesthetist, Certified RegisteredRNA123016Maine
Identifier for this provider
StateIdentifierTypeIssuer
TX00241VMedicare ID-Type UnspecifiedMEDICARE
TX161131101OtherSUPERIOR CHIP
TX161131101Medicaidn/a
TX430078925OtherMEDICARE RAILROAD
n/a47-0891118OtherTAX ID
TX83485UOtherBLUE CROSS BLUE SHIELD
TX8A7373Medicare ID-Type Unspecifiedn/a
n/aS70180Medicare UPINn/a
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