Individual
MR. GEOFFREY SHELDON GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
5308 EASTVIEW ST, CHEYENNE, WY 82001-2260
(307) 287-4951
(307) 778-4386
Mailing address
5308 EASTVIEW ST, CHEYENNE, WY 82001-2260
(307) 287-4951
(307) 778-4386
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
17869
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17869
WYOMING STATE BOARD OF NURSING
WY
Enumeration date
08/19/2014
Last updated
08/19/2014
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