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Theodore Green
Family Nurse Practitioner in Tacoma, Washington
NPI 1053954776

Theodore Green is a Family Nurse Practitioner based in Tacoma, WA and is specialized in Family. Theodore Green practices in Tacoma, WA. The NPI Number for Theodore Green is 1053954776 and holds a License No. AP61015452 (Washington).

The current practice location address for Theodore Green is 3716 Pacific Ave Ste E, Tacoma, WA and can be reached out via phone at 253-474-5141.

Location: 3716 Pacific Ave Ste E, Tacoma, WA, 98418-7836
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Provider Profile Details
NPI Number
1053954776
Provider Name
Theodore Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
3716 Pacific Ave Ste E, Tacoma, WA, 98418-7836
Phone Number
253-474-5141
Fax Number
Provider Enumeration Date
10/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3716 Pacific Ave Ste E
City
State
Zip
98418-7836
Phone Number
253-474-5141
Fax Number
person
Provider Business Mailing Address Details
Address
3716 Pacific Ave Ste E
City
State
Zip
98418-7836
Phone Number
253-474-5141
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP61015452 (Washington)
Definition
Definition to come...
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