Individual provider · Type 1 NPI
Dynasty Dornae Green, RN
Psychiatric/Mental Health Registered Nurse · Los Angeles, CA
NPI number
1700711884
Active
Practice location
12021 Wilmington Ave # 300
Los Angeles, CA 90059-3019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95379740 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1700711884
Dynasty Dornae Green, RN's National Provider Identifier is 1700711884, issued on Jun 17, 2026. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 1, 2026.