Individual
MRS. BRANDI MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 990-5300
Mailing address
1880 INTREPID ST APT B, GREAT LAKES, IL 60088-1256
(847) 473-9165
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN00151370
WA
163WE0003X
Emergency Registered Nurse
Primary
—
IL
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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