Individual
MS. SHELLY MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 587-2139
Mailing address
PO BOX 1155, BILLINGS, MT 59103-1155
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
146502
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
35180-1385
WY
Other
Enumeration date
02/25/2013
Last updated
06/08/2021
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