Individual
KATIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-C
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, 0940 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0711
Mailing address
MADIGAN ARMY MEDICAL CTR, 0940 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0711
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
RN60091507
WA
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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