Individual
MR. SHARROD REYNARD GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5008
Mailing address
3239 GRANBY ST, NORFOLK, VA 23504-1417
(573) 356-8211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001267770
VA
163W00000X
Registered Nurse
RN9351506
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
0024176254
VA
367500000X
Certified Registered Nurse Anesthetist
D177329
IA
Other
Enumeration date
06/06/2018
Last updated
06/03/2024
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