Individual
MRS. DESTINY C GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6100 N 42ND ST # 108, MILWAUKEE, WI 53209-3560
(414) 795-9761
Mailing address
6100 N 42ND ST # 108, MILWAUKEE, WI 53209-3560
(414) 795-9761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1108493-30
WI
251E00000X
Home Health Agency
Primary
—
WI
253Z00000X
In Home Supportive Care Agency
—
WI
343900000X
Non-emergency Medical Transport (VAN)
—
WI
385H00000X
Respite Care
—
WI
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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