Provider Demographics
NPI:1528243839
Name:GREENE, SHAUNA HEALY (MSW)
Entity type:Individual
Prefix:MRS
First Name:SHAUNA
Middle Name:HEALY
Last Name:GREENE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 ESCAMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-4914
Mailing Address - Country:US
Mailing Address - Phone:619-846-4183
Mailing Address - Fax:
Practice Address - Street 1:2221 ESCAMBIA AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-4914
Practice Address - Country:US
Practice Address - Phone:619-846-4183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator