Individual provider · Type 1 NPI

Brandy Latiecha Green

Licensed Practical Nurse · Omaha, NE

NPI number 1851828347 Active

Practice location

10011 J St
Omaha, NE 68127-1106

Call (402) 896-9988 Map

Fax (402) 896-6111

Mailing address

4980 S 118th St
Omaha, NE 68137-2200

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X23140 (NE)

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 1851828347

Brandy Latiecha Green's National Provider Identifier is 1851828347, issued on May 16, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Omaha, NE. The record was last updated on May 16, 2017.