Individual ProviderPaula Joann GreenRegistered NurseNursing Service ProvidersPractice Address42 N Main St, Spring Valley, NY 10977-4906(718) 828-2666(914) 440-3580PECOS EnrollmentBased on the most recent information from CMS, provider Paula Joann Green does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1144934845Provider TypeIndividualFull NameGreen, Paula JoannCredentialRNGenderFemaleSole ProprietorYesEnumeration Date1/9/2023Last Updated1/31/2023Contact InformationPractice LocationPractice Address42 N Main St, Spring Valley, NY 10977-4906Phone(718) 828-2666FaxUnlisted FaxMailing LocationMailing AddressPO Box 1014, Hopewell Junction, NY 12533-1014Phone(914) 440-3580FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense771175New YorkCode163WC1500XDescriptionRegistered NurseNursing Service ProvidersLicense771175New York