Calley Nichole Green, RN
Registered Nurse in Portage, MI. Individual provider (NPI-1).
NPI number1801465653
StatusActive
Last updated in NPPESJun 24, 2021
Details
- NPI
- 1801465653
- Entity type
- Individual (NPI-1)
- Name
- Calley Nichole Green
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2021
- Certification date
- Jun 24, 2021
- Last updated
- Jun 24, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 4704292500 | MI | Yes |
Other names
- Calley Nichole Nevins (Former Name)
Practice location
800 E Milham AvePortage, MI 49002-1490
Phone 269-280-9472
Mailing address
800 E Milham AvePortage, MI 49002-1490
Phone 269-280-9472
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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