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Ethan Thomas Green
Nurse Practitioner in Grand Rapids, Michigan
NPI 1609547702

Ethan Thomas Green is a Nurse Practitioner based in Grand Rapids, MI. Ethan Thomas Green practices in Grand Rapids, MI. The NPI Number for Ethan Thomas Green is 1609547702 and holds a License No. 4704318670 (Michigan).

The current practice location address for Ethan Thomas Green is 300 68Th St Se, Grand Rapids, MI and can be reached out via phone at 616-455-5000 and via fax at 616-281-6459.

Location: 300 68Th St Se, Grand Rapids, MI, 49548-6927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609547702
Provider Name
Ethan Thomas Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 68Th St Se, Grand Rapids, MI, 49548-6927
Phone Number
616-455-5000
Fax Number
616-281-6459
Provider Enumeration Date
09/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 68Th St Se
City
Grand Rapids
State
Michigan
Zip
49548-6927
Phone Number
616-455-5000
Fax Number
616-281-6459
person
Provider Business Mailing Address Details
Address
300 68Th St Se
City
Grand Rapids
State
Michigan
Zip
49548-6927
Phone Number
616-455-5000
Fax Number
616-281-6459
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704318670 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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