Individual
NICOLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
320 27TH ST, KENNER, LA 70062-5069
(504) 909-0497
Mailing address
320 27TH ST, KENNER, LA 70062-5069
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
213438
LA
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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