Individual provider · Type 1 NPI

Mara Michelle Douglas-Green, LPN

Licensed Practical Nurse · Eastpointe, MI

NPI number 1154199180 Active

Practice location

16855 Sprenger Ave
Eastpointe, MI 48021-3099

Call (313) 717-0672 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703098979 (MI)

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 1154199180

Mara Michelle Douglas-Green, LPN's National Provider Identifier is 1154199180, issued on Dec 19, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Eastpointe, MI. The record was last updated on Jan 4, 2024.