Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Henrietta Anne Green, PA-C

Individual provider Medical Physician Assistant · NPI 1548819634

Henrietta Anne Green, PA-C is a Medical Physician Assistant in Fontana, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

17577 Arrow Blvd
Fontana, CA 92335-4011
Phone: (909) 823-4454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1548819634
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 10, 2019

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