Individual
TYIESHA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 FAIRFAX AVE APT 2, CINCINNATI, OH 45207-1855
(513) 659-9133
Mailing address
1614 FAIRFAX AVE APT 2, CINCINNATI, OH 45207-1855
(513) 659-9133
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
364SA2200X
OH
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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