Individual
SHARI P GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCS, MA CAGS
Contact information
Practice address
630 PLANTATION ST, WORCESTER, MA 01605-2038
(508) 856-0732
(508) 853-7149
Mailing address
630 PLANTATION ST, WOT 12TH FL, WORCESTER, MA 01605-2038
(508) 368-5532
(508) 853-7149
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
PPNS00104
RI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
PPNS00104
RI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
RNCS229207
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229207
RN LICENSE
MA
01
—
999
LMHC
MA
01
—
PPNS00104
CNS
RI
01
—
RN50561
NURSING LICENSE
RI
Enumeration date
02/13/2007
Last updated
09/01/2015
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