IndividualActive
Amanda Green
NPI 1508524802 · Nurse Practitioner · Montgomery, AL
Provider details
- NPI number
- 1508524802
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1-128331 (AL)
Practice location
488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone: (334) 288-7808
Fax: (334) 288-8089
Mailing address
201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Registry dates
- Enumerated
- 2021-12-03
- Last updated
- 2024-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.