Individual ProviderChristy GreenLicensed Practical NurseNursing Service ProvidersPractice Address2250 N 1700 W, Layton, UT 84041-1140(801) 773-7060PECOS EnrollmentBased on the most recent information from CMS, provider Christy 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 today at 10:46 AM.Profile DetailsProvider ID1982837639Provider TypeIndividualFull NameGreen, ChristyCredentialLPNGenderFemaleSole ProprietorNoEnumeration Date8/28/2009Last Updated8/28/2009Contact InformationPractice LocationPractice Address2250 N 1700 W, Layton, UT 84041-1140Phone(801) 773-7060Fax(801) 774-6100Mailing LocationMailing AddressPO Box 460, Bountiful, UT 84011-0460Phone(801) 773-7060Fax(801) 774-6100Provider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense7289934-3101Utah