NPI 1174995096

Hattie Green, LPN

Practitioner Licensed Practical Nurse Berkley, MI

Practice location

Address: 2766 W 11 Mile Rd Suite 2, Berkley, MI 48072-3033
Phone: (248) 542-2424
Fax: (248) 542-5621

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 4703018226 (MI)

Other Licensed Practical Nurse providers in Michigan →

Registry record

NPI: 1174995096
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2015
Record last updated: 30 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.