# MRS. RACHEL NICOLE GREEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417709403
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 28195922A | IN | — |
| 363L00000X | Nurse Practitioner | 71015932A | IN | Yes |

## Other

- **Enumeration date:** 04/03/2024
- **Last updated:** 12/19/2024