Provider Demographics
NPI:1235920570
Name:GREEN, EMILY ANN LEA (NP)
Entity type:Individual
Prefix:
First Name:EMILY ANN
Middle Name:LEA
Last Name:GREEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1035 PLENTYWOOD PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-9249
Mailing Address - Country:US
Mailing Address - Phone:702-271-9818
Mailing Address - Fax:
Practice Address - Street 1:2960 SUNRIDGE HEIGHTS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4463
Practice Address - Country:US
Practice Address - Phone:725-291-5900
Practice Address - Fax:725-291-5901
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV827461363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily