Individual provider · Type 1 NPI

Hattie Green, LPN

Licensed Practical Nurse · Berkley, MI

NPI number 1174995096 Active

Practice location

2766 W 11 Mile Rd, Suite 2
Berkley, MI 48072-3033

Fax (248) 542-5621

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703018226 (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 1174995096

Hattie Green, LPN's National Provider Identifier is 1174995096, issued on Oct 30, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Berkley, MI. The record was last updated on Oct 30, 2015.