ELAINE GREEN RN NPI 1720452295

NPI Information

  • NPI: 1720452295
  • Provider Name: ELAINE GREEN, RN
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 11643 CLEARWATER DR
    FENTON, MI
    ZIP 48430
  • Phone: (810) 252-5529

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NPI Details

Elaine Green, RN is a psychiatric/mental health registered nurse in Fenton, MI. Elaine Green, RN NPI is 1720452295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11643 CLEARWATER DR
FENTON, MI
ZIP 48430-610
Phone: (810) 252-5529

The enumeration date for this NPI number is 11/21/2015 and was last updated on 11/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse4704172993MICHIGANNo
2163WC0400XRegistered NurseCase Management4704172993MICHIGANNo
3163WP0808XRegistered NursePsychiatric/Mental Health4704172993MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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