Individual
MRS. SHANNEL L. B. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2401 E NORTH AVE, BALTIMORE, MD 21213-1517
(410) 675-2113
(410) 675-2118
Mailing address
9503 OAK TRACE WAY, RANDALLSTOWN, MD 21133-2446
(410) 207-6231
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP31343
MD
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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