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Shanaya E Green
Adult Health Nurse Practitioner in Avon, Indiana
NPI 1669066288

Shanaya E Green is an Adult Health Nurse Practitioner based in Avon, IN and is specialized in Adult Health. Shanaya E Green practices in Avon, IN. The NPI Number for Shanaya E Green is 1669066288 and holds a License No. 71010833A (Indiana).

The current practice location address for Shanaya E Green is 7640 Basswood Dr, Avon, IN and can be reached out via phone at 803-915-1774.

Location: 7640 Basswood Dr, Avon, IN, 46123-7564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669066288
Provider Name
Shanaya E Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
7640 Basswood Dr, Avon, IN, 46123-7564
Phone Number
803-915-1774
Fax Number
Provider Enumeration Date
02/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7640 Basswood Dr
City
Avon
State
Indiana
Zip
46123-7564
Phone Number
803-915-1774
Fax Number
person
Provider Business Mailing Address Details
Address
7640 Basswood Dr
City
Avon
State
Indiana
Zip
46123-7564
Phone Number
803-915-1774
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
71010833A (Indiana)
Definition
Definition to come...
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