Healthcare Provider Details

I. General information

NPI: 1104639483
Provider Name (Legal Business Name): ALMA GREEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALMA AUGUSTINE CHRISTA AKRAS RN

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 N PINES RD
SPOKANE VALLEY WA
99206-4939
US

IV. Provider business mailing address

PO BOX 31001-4114
PASADENA CA
91110-4114
US

V. Phone/Fax

Practice location:
  • Phone: 509-893-8140
  • Fax:
Mailing address:
  • Phone: 866-747-2455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61665158
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60969113
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: