Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicki Green

Individual provider Contractor · NPI 1174795660

Nicki Green is a Contractor in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2008
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Practice location Address checks out

517 W Beautiful Ln
Phoenix, AZ 85041-8048
Phone: (708) 955-8388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 2770314 (AZ)

Record details

NPI number1174795660
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 25, 2008
Last updated in NPPESMarch 25, 2008
Mailing address517 W Beautiful Ln, Phoenix, AZ 85041-8048

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