Provider Demographics
NPI:1619248648
Name:GREEN, KRYN MICHEAL (CRNA, ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KRYN
Middle Name:MICHEAL
Last Name:GREEN
Suffix:
Gender:F
Credentials:CRNA, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 SAN REMO AVE
Mailing Address - Street 2:SUITE 285
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3043
Mailing Address - Country:US
Mailing Address - Phone:305-448-9018
Mailing Address - Fax:
Practice Address - Street 1:1500 SAN REMO AVE
Practice Address - Street 2:SUITE 285
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3043
Practice Address - Country:US
Practice Address - Phone:305-448-9018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9263729367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered