Individual
RAQUEL N GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
543974
CA
363L00000X
Nurse Practitioner
RN543974
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
543974
RN
CA
Enumeration date
10/05/2006
Last updated
10/13/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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