Tammi Green
Licensed Practical Nurse in Indianapolis, IN. Individual provider (NPI-1).
NPI number1760670376
StatusActive
Last updated in NPPESOct 9, 2007
Details
- NPI
- 1760670376
- Entity type
- Individual (NPI-1)
- Name
- Tammi Green
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2007
- Last updated
- Oct 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 27058210A | IN | Yes |
Practice location
8060 Knue Rd Ste 110Indianapolis, IN 46250-1938
Phone 317-842-7435
Mailing address
8060 Knue Rd Ste 110Indianapolis, IN 46250-1938
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