Provider Demographics
NPI:1740606623
Name:GREENE-ADENAIKE, SHEVEEN RASHEMA (AGNP)
Entity Type:Individual
Prefix:MRS
First Name:SHEVEEN
Middle Name:RASHEMA
Last Name:GREENE-ADENAIKE
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:MS
Other - First Name:SHEVEEN
Other - Middle Name:RASHEMA
Other - Last Name:GREENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGNP
Mailing Address - Street 1:211 WRIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-2328
Mailing Address - Country:US
Mailing Address - Phone:917-330-1395
Mailing Address - Fax:
Practice Address - Street 1:211 WRIGHT AVE
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-2328
Practice Address - Country:US
Practice Address - Phone:917-330-1395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013467363LA2200X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology