Green, Tracey Louise

Green, Tracey Louise is an individual health care provider with primary practice located at 882 Oakman Blvd Ste D , Detroit MI 48238-4019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Green, Tracey Louise can be contacted via phone (313) 961-7990.

Contact Information

Primary practice address
882 Oakman Blvd Ste D Detroit MI 48238-4019
Phone: (313) 961-7990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704290410 Michigan

Profile Details

NPI number 1295136729
LBN Legal business name Green, Tracey Louise
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2014
Last updated Oct 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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