IndividualActive
Latoya Green
NPI 1083456131 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Detroit, MI
Provider details
- NPI number
- 1083456131
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704386104 (MI)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered NursePrimary163WP0807XLicense 4704386104 (MI)
Nursing Service Providers
Practice location
707 W Milwaukee St
Detroit, MI 48202-2943
Phone: (313) 833-2500
Approximate (ZIP-level) locationGet directions
Mailing address
20666 Hollywood St
Harper Woods, MI 48225-1161
Registry dates
- Enumerated
- 2024-06-10
- Last updated
- 2024-06-10
- Certified
- 2024-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.