Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanaya E Green

Individual provider Adult Health Nurse Practitioner · NPI 1669066288

Shanaya E Green is an Adult Health Nurse Practitioner in Avon, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2021

Practice location Address checks out

7640 Basswood Dr
Avon, IN 46123-7564
Phone: (803) 915-1774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 71010833A (IN)

Record details

NPI number1669066288
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 24, 2021
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021
Mailing address7640 Basswood Dr, Avon, IN 46123-7564

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