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Individual
MS. SHELLY BRYANT GREENISEN
Active
Individual
MS. SHELLY BRYANT GREENISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
38291400
WI
163WH0200X
Home Health Registered Nurse
Primary
38291400
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38291400
—
WI
01
—
89676-030
RN LICENSE NUMBER
WI
Enumeration date
01/27/2007
Last updated
09/11/2025
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