Individual
TRACEY D GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2345 E PRATER WAY, SUITE 207, SPARKS, NV 89434-9600
(775) 356-4547
(775) 356-4541
Mailing address
2345 E PRATER WAY, SUITE 104, SPARKS, NV 89434-9600
(775) 356-4547
(775) 356-4541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7233
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11040458
CAQH
—
01
—
1487631768
NPI
—
Enumeration date
12/28/2005
Last updated
07/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us