Individual provider · Type 1 NPI

Elaine Green, RN

Psychiatric/Mental Health Registered Nurse · Fenton, MI

NPI number 1720452295 Active

Practice location

11643 Clearwater Dr
Fenton, MI 48430-8610

Call (810) 252-5529 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704172993 (MI)
Case Management Registered Nurse 163WC0400X4704172993 (MI)
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X4704172993 (MI)

Psychiatric/Mental Health Registered Nurse: Definition to come...

About NPI 1720452295

Elaine Green, RN's National Provider Identifier is 1720452295, issued on Nov 21, 2015. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Fenton, MI. The record was last updated on Nov 21, 2015.