DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TERESA DIANE GREEN

Active Sole Proprietor

MS. TERESA DIANE GREEN is a Homemaker healthcare provider located in SIKESTON, Missouri. NPI 1104154293 is currently active in the NPPES registry. Verify at CMS.

Homemaker · SIKESTON, MO

Registration Details

NPI Number
1104154293
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2009 (16.559774283559 yrs)
Last Updated
Nov 30, 2009
License
19920393 (MO)
Sole Proprietor
Yes

Practice Information

Address
415 W GLADYS ST
SIKESTON, MO, 638012733
Browse MO providers · Browse ZIP 63801
Phone
5734759254
Fax
5734759254
Primary Specialty
Homemaker
376J00000X

Other Homemaker Providers in SIKESTON, MO

Name Credential NPI
RUTH BECK 1760835201
LATASHA R LEWIS 1841761996
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.