ELAINE GREEN


Address: 11643 Clearwater Dr, Fenton, MI 48430-8610
Phone: 8102525529

ELAINE GREEN (NPI# 1720452295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720452295
Entity Type Individual
Full Name ELAINE GREEN
Credential RN
Practice Address 11643 Clearwater Dr
Fenton
MI 48430-8610
Practice Telephone 8102525529
Mailing Telephone 8102525529
Enumeration Date 2015-11-21
Last Update Date 2015-11-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 4704172993 MI Nursing Service Providers
N 163WC0400X Registered Nurse
Specialization: Case Management
4704172993 MI Nursing Service Providers
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
4704172993 MI Nursing Service Providers

Other Providers ELAINE GREEN

NPI Name Taxonomy Address Enumeration
1063607810 Elaine R Green Nurse Practitioner 5645 Main St, Flushing, NY 11355-5045 2007-09-13
1710195409 Elaine Green Social Worker 853 Broadway, New York, NY 10003 2007-05-18
1073628863 Elaine Reeves Green Psychiatry & Neurology 14150 Parkeast Cir Ste 200, Chantilly, VA 20151-2295 2006-08-20
1295717288 Elaine Marie Green Nurse Practitioner 2315 Stockton Blvd, Sacramento, CA 95817-2201 2005-11-16

Office Location

Street Address 11643 CLEARWATER DR
City FENTON
State MI
Zip Code 48430-8610

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225647514 Drs Mesh, P.C. Dentist 15555 Silver Parkway, Fenton, MI 48430 2020-07-23
1225515091 Erica Anderson Social Worker 127 River St., Fenton, MI 48430 2018-07-25
1245767888 Optimum Balance Clinic/Center 1537 N. Leroy Street, Suite D, Fenton, MI 48430 2017-05-14
1710411293 Abdul Hassan Thoracic Surgery (Cardiothoracic Vascular Surgery) 11 Chateaux Du Lac, Fenton, MI 48430 2017-04-12
1366994410 Intentional Wellbeing LLC Psychologist 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 2016-10-25
1265801625 Shawn Marie Gorkiewicz Nurse Practitioner 435 North Leroy, Fenton, MI 48430 2015-09-16
1972994226 Carrie Hamilton Physical Medicine & Rehabilitation 102 N Adelaide St Ste B, Fenton, MI 48430 2015-02-09
1104222520 Wellbridge of Fenton, LLC Skilled Nursing Facility 901 Pine Creek Drive, Fenton, MI 48430 2014-11-12
1225442759 Joseph Matthew Leppek Optometrist 1425 N. Leroy St., Fenton, MI 48430 2014-06-12
1437569647 Therapy Support Center LLC Clinic/Center 113 North River Street, Fenton, MI 48430 2014-04-28
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154946705 Ahuva Lakier Registered Nurse 15895 Harden Cir, Southfield, MI 48075-3042 2020-06-09
1891351540 Frederick Patrick Registered Nurse 2864 125th Ave, Allegan, MI 49010-9276 2019-05-17
1801452578 Lolita Curry Registered Nurse 32 East 1200 Telegraph, Pontiac, MI 48341 2019-05-17
1275003113 Cathleen Brooks Registered Nurse 1200 N Telegraph Rd # 32, Pontiac, MI 48341-1032 2018-12-04
1679041545 Shiba Lashon Nixon Registered Nurse New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 2018-11-08
1780168856 Alison Male Registered Nurse 530 W Oldfield St, Alpena, MI 49707-1810 2018-09-24
1508346800 Colleen Botos Registered Nurse 5671 N Skeel Ave Ste 6, Oscoda, MI 48750-1535 2018-08-16
1811416845 Karen Sue Franks Registered Nurse 615 E. Crosstown Parkway, Kalamazoo, MI 49009 2017-09-11
1083131924 Kristen Lynn Little Registered Nurse 3726 Spruce Run, White Lake, MI 48383-3523 2017-08-22
1396269379 Emily Elisabeth Ann Pawlowski Registered Nurse 12021 Cardwell St, Livonia, MI 48150-2355 2017-08-01
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Competitor

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City FENTON
Zip Code 48430

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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