THEODORE GREEN
Nurse Practitioner - Family
Active
Individual
NPI: 1053954776
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | AP61015452 (WA) |
Frequently Asked Questions
NPI 1053954776 is the National Provider Identifier for THEODORE GREEN, a Nurse Practitioner - Family provider located in Tacoma, WA. This NPI was enumerated on October 25, 2019.
THEODORE GREEN practices at 3716 PACIFIC AVE STE E, Tacoma, WA 98418.
Quick Facts
- NPI
- 1053954776
- Type
- Individual
- Enumerated
- Oct 25, 2019
- Last Updated
- Mar 18, 2021
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