Individual provider · Type 1 NPI

Shanda Green

Family Nurse Practitioner · Oklahoma City, OK

NPI number 1083583405 Active

Practice location

13901 Technology Dr Unit Ab
Oklahoma City, OK 73134-1052

Call (405) 606-2727 Map

Mailing address

PO Box 571
Piedmont, OK 73078-0571

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X228753 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1083583405

Shanda Green's National Provider Identifier is 1083583405, issued on Nov 3, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 14, 2026.