Patricia Shine, FNP
Nurse Practitioner, Family in Lindenhurst, NY. Individual provider (NPI-1).
NPI number1295576007
StatusActive
Last updated in NPPESJun 5, 2024
Details
- NPI
- 1295576007
- Entity type
- Individual (NPI-1)
- Name
- Patricia Shine
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2024
- Certification date
- Jun 5, 2024
- Last updated
- Jun 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F354328-01 | NY | Yes |
Practice location
150 Sunrise Hwy Ste 201Lindenhurst, NY 11757-2539
Phone 631-444-5544
Mailing address
220 S Ketcham Ave Apt CAmityville, NY 11701-3527
Phone 631-478-3748
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