NPI 1417610387

Crystal Latasha Greene

Practitioner Nurse's Aide Stone Mountain, GA

Practice location

Address: 5030 W Mountain St APT 18, Stone Mountain, GA 30083-2845
Phone: (678) 334-4914

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence CN0014183784 (GA)

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Registry record

NPI: 1417610387
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2021
Record last updated: 18 Oct 2021

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.