Individual
SHANNON MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314
(515) 282-8270
Mailing address
PO BOX 677075, DALLAS, TX 75267-7075
(641) 437-3483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A112605
IA
Other
Enumeration date
08/31/2016
Last updated
12/18/2025
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