IndividualActive
Angela Greene, PA-C
NPI 1972648962 · Medical Physician Assistant · Woodbury, MN
Provider details
- NPI number
- 1972648962
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10039 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1811 Weir Dr Ste 270
Woodbury, MN 55125-6741
Phone: (651) 714-9646
Fax: (651) 714-9647
Approximate (ZIP-level) locationGet directions
Mailing address
1900 Silver Lake Rd Nw
New Brighton, MN 55112-1786
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2019-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.