Individual
MANDY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2521 N ELMS RD, FLUSHING, MI 48433-9423
(810) 285-1755
Mailing address
5874 SID DR, SAGINAW, MI 48601-9207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704367720
MI
163WH0200X
Home Health Registered Nurse
Primary
4704367720
MI
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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