Green, Shay F

Green, Shay F is an individual health care provider with primary practice located at 28 Crescent St , Middletown CT 06457-3654. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Green, Shay F can be contacted via phone (860) 358-5322.

Contact Information

Primary practice address
28 Crescent St Middletown CT 06457-3654
Phone: (860) 358-5322
Fax: (860) 358-6298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 003655 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 003655 Connecticut

Profile Details

NPI number 1255520060
LBN Legal business name Green, Shay F
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Mar 11th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255520060 NPPES
Connecticut Other 3V0093 HEALTHNET
Connecticut Other 400003655CT HEALTHNET

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