Active NPIIndividual providerSole proprietor

Shine Philip, NP

Nurse Practitioner, Family in Greenwich, Connecticut

NPI Number1538519954
Practice location
75 Holly Hill Ln Ste 201, Greenwich, CT 06830-2912
Fax
203-276-2515
Last updated
July 26, 2024

Shine Philip is a Nurse Practitioner, Family based in Greenwich, CT. Shine Philip practices in Greenwich, CT and has the professional credentials of NP. The NPI Number for Shine Philip is 1538519954 and holds a License No. 13204 (CT). The current practice location address for Shine Philip is 75 Holly Hill Ln Ste 201, Greenwich, CT 06830-2912 and can be reached out via phone at 203-276-2516 and via fax at 203-276-2515.

Provider Profile Details

NPI Number
1538519954
Provider Name
Shine Philip
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
75 Holly Hill Ln Ste 201, Greenwich, CT 06830-2912
Phone Number
203-276-2516
Fax Number
203-276-2515
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
June 16, 2016
Last Update Date
July 26, 2024
Certification Date
July 26, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Holly Hill Ln Ste 201
Greenwich, CT 06830-2912
Zip
06830-2912
Phone Number
203-276-2516
Fax Number
203-276-2515
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
75 Holly Hill Ln Ste 201
Greenwich, CT 06830-2912
City
Greenwich
State
CT
Zip
06830-2912
Phone Number
203-276-2516
Fax Number
203-276-2515

License Information

License Number
13204
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shine Philip, NP?

The NPI number of Shine Philip, NP is 1538519954. It was assigned on June 16, 2016 and is currently active in the NPPES registry.

What is the specialty of Shine Philip, NP?

Shine Philip, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 13204.

Where does Shine Philip, NP practice?

The practice location is 75 Holly Hill Ln Ste 201, Greenwich, CT 06830-2912. The office can be reached at 203-276-2516 (phone) or 203-276-2515 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538519954 directly on the NPPES registry website.

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