NPI 1912573510
Tiffany Danielle Green
Practice location
- Address
- 6207 N Lindbergh Blvd, Hazelwood, MO 63042-2817
- Phone
- (314) 393-1639
- Mailing address
- 914 Timberwood Crossing CT, Florissant, MO 63031-7518
Registered specialties
Nursing Home Administrator
Primary
Registry record
- NPI
- 1912573510
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Jun 2021
- Record last updated
- 3 Jun 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.