Individual
MRS. SHAMIRA DEMETRIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
104 WHISPERING PINES AVE, FRIENDSWOOD, TX 77546-4911
(713) 429-5325
Mailing address
104 WHISPERING PINES AVE, FRIENDSWOOD, TX 77546-4911
(713) 429-5325
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1131959
TX
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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