Individual provider · Type 1 NPI

Summer Green, RN

Emergency Registered Nurse · Fort Wayne, IN

NPI number 1467156646 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Mailing address

12311 Dohoney Rd
Defiance, OH 43512-8842

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X28231640A (IN)

Emergency Registered Nurse: Definition to come...

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About NPI 1467156646

Summer Green, RN's National Provider Identifier is 1467156646, issued on Mar 30, 2023. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 30, 2023.