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

MS. TASHUNDA LATRESE GREEN, RN

Active Sole Proprietor

MS. TASHUNDA LATRESE GREEN, RN is a Neonatal Intensive Care Nurse healthcare provider located in HOMEWOOD, Illinois. NPI 1881853992 is currently active in the NPPES registry. Verify at CMS.

Neonatal Intensive Care Nurse · HOMEWOOD, IL

Registration Details

NPI Number
1881853992
Provider Type
Individual
Gender
Female
NPI Issued
Jun 4, 2008 (18.228370621146 yrs)
Last Updated
Jun 4, 2008
License
041310372 (IL)
Sole Proprietor
Yes

Practice Information

Address
17830 LARKSPUR LN
HOMEWOOD, IL, 604301131
Browse IL providers · Browse ZIP 60430
Phone
7087996740
Primary Specialty
Neonatal Intensive Care Nurse
163WN0002X
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.