Individual
MS. SHELLY BRYANT GREENISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
621 E WASHINGTON ST, SLINGER, WI 53086-9622
(262) 644-9224
Mailing address
621 E WASHINGTON ST, SLINGER, WI 53086-9622
(262) 644-9224
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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