IndividualActive
Nyisha Green, CNA, CMA
NPI 1376966390 · Technician · Racine, WI
Provider details
- NPI number
- 1376966390
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Credential
- CNA, CMA
- Sex
- Female
- Sole proprietor
- Yes
- License
- H5K8N2B6 (GA)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1177 Reiley Ct
Racine, WI 53403-1759
Phone: (260) 308-2961
Fax: (262) 260-8433
Approximate (ZIP-level) locationGet directions
Mailing address
1177 Reiley Ct
Racine, WI 53403-1759
Registry dates
- Enumerated
- 2014-01-27
- Last updated
- 2014-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.