Active NPIIndividual provider

Mr. Shay F Green, APRN

Nurse Practitioner, Acute Care in Middletown, Connecticut

NPI Number1255520060
Practice location
28 Crescent St, Middletown, CT 06457-3654
Fax
860-358-6298
Last updated
March 11, 2014

Shay F Green is a Nurse Practitioner, Acute Care based in Middletown, CT. Shay F Green practices in Middletown, CT and has the professional credentials of APRN. The NPI Number for Shay F Green is 1255520060 and holds a License No. 003655 (CT). The current practice location address for Shay F Green is 28 Crescent St, Middletown, CT 06457-3654 and can be reached out via phone at 860-358-5322 and via fax at 860-358-6298.

Provider Profile Details

NPI Number
1255520060
Provider Name
Shay F Green
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
28 Crescent St, Middletown, CT 06457-3654
Phone Number
860-358-5322
Fax Number
860-358-6298
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2007
Last Update Date
March 11, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Crescent St
Middletown, CT 06457-3654
Zip
06457-3654
Phone Number
860-358-5322
Fax Number
860-358-6298
Middletown, CT 06457Get directions →

Provider Business Mailing Address Details

Address
28 Crescent St
Middletown, CT 06457-3654
City
Middletown
State
CT
Zip
06457-3654
Phone Number
860-358-5322
Fax Number
860-358-6298

License Information

License Number (1)
003655
License State (1)
CT
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
003655
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Acute Care · 363LA2100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Shay F Green, APRN?

The NPI number of Mr. Shay F Green, APRN is 1255520060. It was assigned on October 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Shay F Green, APRN?

Mr. Shay F Green, APRN is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in CT under license number 003655.

Where does Mr. Shay F Green, APRN practice?

The practice location is 28 Crescent St, Middletown, CT 06457-3654. The office can be reached at 860-358-5322 (phone) or 860-358-6298 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255520060 directly on the NPPES registry website.

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