Individual
TAMMY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1000
Mailing address
1511 W B CT, LINCOLN, NE 68522-1296
(308) 672-2644
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
60776
NE
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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