Individual provider · Type 1 NPI

Mia Green

Licensed Practical Nurse · Laurelton, NY

NPI number 1003167776 Active

Practice location

13053 225th St
Laurelton, NY 11413-1228

Call (718) 525-1420 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X307675-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003167776

Mia Green's National Provider Identifier is 1003167776, issued on Sep 21, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Laurelton, NY. The record was last updated on Sep 21, 2012.