Individual
MICHELLE R GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
430 N MONITOR ST, WEST POINT, NE 68788-1555
(402) 372-2404
Mailing address
5020 N 27TH ST, LINCOLN, NE 68521-1196
(402) 477-4764
(402) 742-8716
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1400
NE
Other
Enumeration date
11/30/2018
Last updated
10/03/2019
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