Individual
MS. SHIRLEY MAE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN.BSN
Contact information
Practice address
7912 WHIMBREL LN, FUQUAY VARINA, NC 27526-5409
(919) 552-6113
Mailing address
7912 WHIMBREL LN, FUQUAY VARINA, NC 27526-5409
(919) 552-6113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
076433
NC
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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