Individual provider · Type 1 NPI

Shellie A. Green

Family Nurse Practitioner · Watertown, NY

NPI number 1124636113 Active

Practice location

160 Stone St
Watertown, NY 13601-3250

Fax (315) 222-7435

Mailing address

2697 Main St
Buffalo, NY 14214-1701

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF346037-1 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1124636113

Shellie A. Green's National Provider Identifier is 1124636113, issued on Jul 16, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Watertown, NY. The record was last updated on Jul 17, 2020.