Individual provider · Type 1 NPI

Sandra Green, LPN

Licensed Practical Nurse · Fort Carson, CO

NPI number 1558031583 Active

Practice location

1650 Cochrane Cir Bldg 2361
Fort Carson, CO 80913-4613

Mailing address

4490 Ramblewood Dr
Colorado Springs, CO 80920-6634

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.0331410 (CO)

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 1558031583

Sandra Green, LPN's National Provider Identifier is 1558031583, issued on Sep 20, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Carson, CO. The record was last updated on Sep 20, 2021.