Individual provider · Type 1 NPI
Tyler Douglas Green, C.N.P.
Psychiatric/Mental Health Nurse Practitioner · Dayton, OH
NPI number
1700217494
Active
Practice location
7901 Schatz Pointe Dr, Suite A
Dayton, OH 45459-3856
Fax (937) 438-9851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | COA.15402-NP (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1700217494
Tyler Douglas Green, C.N.P.'s National Provider Identifier is 1700217494, issued on Dec 5, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dayton, OH. The record was last updated on Jan 26, 2017.