Individual
ANDREA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(000) 000-0000
Mailing address
2728 SE ARTHUR CT, PORT ORCHARD, WA 98367-9576
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
RN60670284
WA
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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