Individual provider · Type 1 NPI
Carla Green, RN
General Practice Registered Nurse · Wichita, KS
NPI number
1790490399
Active
Practice location
5500 E Kellogg Dr
Wichita, KS 67218-1607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 755624 (KS) |
| General Practice Registered Nurse Primary | 163WG0000X | 13-91978-081 (KS) |
General Practice Registered Nurse: Definition to come...
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About NPI 1790490399
Carla Green, RN's National Provider Identifier is 1790490399, issued on Jan 18, 2023. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Wichita, KS. The record was last updated on Feb 14, 2023.