Provider Demographics
NPI:1780574012
Name:LLOYD-GREEN, BRETT RAMBO (CRNP)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:RAMBO
Last Name:LLOYD-GREEN
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:BRETT
Other - Middle Name:RAMBO
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2030 THISTLE HILL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRING GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:17362-1160
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2030 THISTLE HILL DR STE 100
Practice Address - Street 2:
Practice Address - City:SPRING GROVE
Practice Address - State:PA
Practice Address - Zip Code:17362-1160
Practice Address - Country:US
Practice Address - Phone:717-225-9869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN673612163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse