Individual
MRS. TAMI TATE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, CDE
Contact information
Practice address
1601 CENTER STREET, STE 1S, MOBILE, AL 36604-3207
(251) 410-5437
(251) 434-3852
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 410-5437
(251) 434-3852
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1048518
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051512195
BLUE CROSS
AL
05
—
051512195
—
AL
Enumeration date
07/25/2006
Last updated
03/02/2017
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