Individual provider · Type 1 NPI
Shanaya E. Green
Adult Health Nurse Practitioner · Avon, IN
NPI number
1669066288
Active
Practice location
7640 Basswood Dr
Avon, IN 46123-7564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 71010833A (IN) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
Other adult health nurse practitioner providers in Avon
About NPI 1669066288
Shanaya E. Green's National Provider Identifier is 1669066288, issued on Feb 24, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Avon, IN. The record was last updated on Sep 29, 2026.