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Mr. Gary Shine, RN
Pediatric Registered Nurse in Norfolk, Virginia
NPI 1487392171

Gary Shine is a Pediatric Registered Nurse based in Virginia Beach, VA and is specialized in Pediatrics. Gary Shine practices in Norfolk, VA and has the professional credentials of RN. The NPI Number for Gary Shine is 1487392171 and holds a License No. 0001272766 (Virginia).

The current practice location address for Gary Shine is 601 Childrens Ln, Norfolk, VA and can be reached out via phone at 757-668-7315. You can also correspond with Gary Shine through the mailing address at 1661 SPRING HOUSE TRL, VIRGINIA BEACH, VA - 23455-7005 (mailing address contact number: 757-282-9621).

Location: 601 Childrens Ln, Norfolk, VA, 23455-7005
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Provider Profile Details
NPI Number
1487392171
Provider Name
Gary Shine
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
601 Childrens Ln, Norfolk, VA, 23455-7005
Phone Number
757-668-7315
Fax Number
Provider Enumeration Date
05/24/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0001272766 01 VA RN LICENSE
institution
Provider Business Practice Location Address Details
Address
601 Childrens Ln
City
State
Zip
23507-1971
Phone Number
757-668-7315
Fax Number
person
Provider Business Mailing Address Details
Address
1661 Spring House Trl
City
State
Zip
23455-7005
Phone Number
757-282-9621
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
0001272766 (Virginia)
Definition
Definition to come...
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