Individual
CALLEY NICHOLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 E MILHAM AVE, PORTAGE, MI 49002-1490
(269) 280-9472
Mailing address
800 E MILHAM AVE, PORTAGE, MI 49002-1490
(269) 280-9472
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704292500
MI
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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