Individual provider · Type 1 NPI

Thedaus Green

Registered Nurse · Nashville, TN

NPI number 1174102784 Active

Practice location

10 Lea Ave Ste 760
Nashville, TN 37210-3541

Call (201) 526-8484 Map

Fax (615) 610-0749

Mailing address

611 Dairy Ashford Rd Apt 162
Houston, TX 77079-3906

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	946282 (TX)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174102784

Thedaus Green's National Provider Identifier is 1174102784, issued on Apr 2, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Nashville, TN. The record was last updated on Feb 24, 2026.