MIA GREEN
NPI 1003167776
Licensed Practical Nurse in Laurelton, NY

Active since September 21, 2012
13053 225TH ST, LAURELTON, NY 11413(718) 525-1420 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mia Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA GREEN (NPI 1003167776) is an individual licensed practical nurse in Laurelton, New York, licensed in New York (307675-1) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1003167776
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMIA GREEN
Location Address13053 225TH STLaurelton, NY 11413-1228
Mailing Address13053 225th StLaurelton, NY 11413-1228
Sole ProprietorNo
Enumeration DateSeptember 21, 2012
NPI 1003167776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 307675-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
13053 225TH ST, Laurelton, NY 11413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Green's NPI number?

The NPI number for Mia Green is 1003167776. It was assigned to this individual provider in the NPPES registry on September 21, 2012.

Where is Mia Green located?

Mia Green practices at 13053 225th St, Laurelton, NY 11413. The listed phone number is (718) 525-1420.

What is Mia Green's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mia Green was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.