Individual
NICHOLE MARIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8656 W GAGE BLVD STE B203, KENNEWICK, WA 99336-1154
(509) 579-0109
(509) 420-9851
Mailing address
8656 W GAGE BLVD STE B203, KENNEWICK, WA 99336-1154
(509) 579-0109
(509) 420-9851
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61208028
WA
Other
Enumeration date
08/19/2021
Last updated
01/12/2026
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