Individual ProviderMichelle GreenRegistered NurseNursing Service ProvidersPractice Address7600 Georgia Ave NW, Washington, DC 20012-1616(202) 800-9005PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Green does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1679235568Provider TypeIndividualFull NameGreen, MichelleGenderFemaleSole ProprietorYesEnumeration Date10/8/2021Last Updated10/8/2021Contact InformationPractice LocationPractice Address7600 Georgia Ave NW, Washington, DC 20012-1616Phone(202) 800-9005FaxUnlisted FaxMailing LocationMailing Address7600 Georgia Ave NW, Washington, DC 20012-1616Phone(202) 800-9005FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseR204869Maryland