Individual
SHEA ELIZABETH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8752 E VIA DE COMMERCIO STE 1, SCOTTSDALE, AZ 85258-3396
(480) 684-1080
(480) 684-1081
Mailing address
9097 E DESERT COVE AVE STE 200, SCOTTSDALE, AZ 85260-6280
(480) 273-8510
(480) 214-9933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8239
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085142
—
AZ
Enumeration date
04/10/2020
Last updated
03/07/2023
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