Green, Shana R

Green, Shana R is an individual health care provider with primary practice located at 1155 Alpine Ave Fl 2 , Boulder CO 80304. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Green, Shana R can be contacted via phone (303) 415-4299.

Contact Information

Primary practice address
1155 Alpine Ave Fl 2 Boulder CO 80304
Phone: (303) 415-4299
Fax: (303) 441-2202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 708000 California
Nursing Service Providers / Registered Nurse 163W00000X RN.1650946 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 21009 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 21009 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN.0993439-NP Colorado

Profile Details

NPI number 1861761207
LBN Legal business name Green, Shana R
Credentials PMHNP-BC/ ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2011
Last updated May 22nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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