Individual
DR. MICHELE M GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN,PHN,RNP, MSN
Contact information
Practice address
11705 ALAMEDA ST, LYNWOOD, CA 90262-4023
(323) 568-4550
Mailing address
PO BOX 452231, LOS ANGELES, CA 90045-8529
(323) 568-4550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
14185
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
14185
CA
Other
Enumeration date
09/11/2017
Last updated
04/21/2020
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