Individual provider · Type 1 NPI
Tashunda Latrese Green, RN
Neonatal Intensive Care Registered Nurse · Homewood, IL
NPI number
1881853992
Active
Practice location
17830 Larkspur Ln
Homewood, IL 60430-1131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Intensive Care Registered Nurse Primary | 163WN0002X | 041310372 (IL) |
Neonatal Intensive Care Registered Nurse: Definition to come...
About NPI 1881853992
Tashunda Latrese Green, RN's National Provider Identifier is 1881853992, issued on Jun 4, 2008. The primary taxonomy on file is Neonatal Intensive Care Registered Nurse (163WN0002X), and the practice location is in Homewood, IL. The record was last updated on Jun 4, 2008.