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MARA MICHELLE DOUGLAS-GREEN LPN
NPI 1154199180
Licensed Practical Nurse in Eastpointe, MI

Active since December 19, 2023
16855 SPRENGER AVE, EASTPOINTE, MI 48021(313) 717-0672 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mara Michelle Douglas-green Lpn NPPES

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

MARA MICHELLE DOUGLAS-GREEN LPN (NPI 1154199180) is an individual licensed practical nurse in Eastpointe, Michigan, licensed in Michigan (4703098979) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1154199180
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARA MICHELLE DOUGLAS-GREENCredential: LPN
Location Address16855 SPRENGER AVEEastpointe, MI 48021-3099
Mailing Address16855 Sprenger AveEastpointe, MI 48021-3099 · (313) 717-0672
Phone(313) 717-0672
Sole ProprietorYes
Enumeration DateDecember 19, 2023
Last NPPES UpdateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1154199180 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 MI · 4703098979
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.
16855 SPRENGER AVE, Eastpointe, MI 48021
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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 Mara Douglas-green's NPI number?

The NPI number for Mara Douglas-green is 1154199180. It was assigned to this individual provider in the NPPES registry on December 19, 2023.

Where is Mara Douglas-green located?

Mara Douglas-green practices at 16855 Sprenger Ave, Eastpointe, MI 48021. The listed phone number is (313) 717-0672.

What is Mara Douglas-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 Mara Douglas-green was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.