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Individual

TAMMY LYNN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2901 N TENAYA WAY, SUITE 210, LAS VEGAS, NV 89128-1420
(702) 255-0500
(702) 821-1704
Mailing address
3640 WEDO WAY, NORTH LAS VEGAS, NV 89031-2281
(702) 235-3488

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002197
NV

Other

Enumeration date
04/21/2016
Last updated
04/29/2016
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