NPI 1790490399 · live from the CMS NPI Registry
Carla Green, RN
Registered Nurse, General Practice in Wichita, KS. National Provider Identifier 1790490399, active.
NPI record
| NPI | 1790490399 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 5500 E Kellogg Dr, Wichita, KS 67218 |
| Practice phone | 316-685-2221 |
| Enumerated | January 18, 2023 |
| Last updated | February 14, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | 755624 (KS) |
| Registered Nurse, General Practice primary | 163WG0000X | 13-91978-081 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.