IndividualActive
Andrea Green, P.A.-C
NPI 1356328231 · Physician Assistant · Edgewood, KY
Provider details
- NPI number
- 1356328231
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10004353A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
711 Medical Village Dr
Edgewood, KY 41017-3439
Phone: (859) 287-3045
Fax: (859) 578-3800
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 636324
Cincinnati, OH 45263-6324
Additional practice locations (1)
- 600 Wilson Creek RdLawrenceburg, IN 47025-2751Phone: (812) 496-4910Fax: (812) 532-2664
Registry dates
- Enumerated
- 2005-12-30
- Last updated
- 2025-12-18
- Certified
- 2025-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.