Shine, Cathy Diane

Shine, Cathy Diane is an sole proprietor health care provider with primary practice located at 1305 W. American Drive , Neenah WI 54956-2883. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shine, Cathy Diane can be contacted via phone (920) 725-9373.

Contact Information

Primary practice address
1305 W. American Drive Neenah WI 54956-2883
Phone: (920) 725-9373
Fax: (920) 720-7392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2005007423 Wisconsin

Profile Details

NPI number 1710938899
LBN Legal business name Shine, Cathy Diane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2006
Last updated Dec 19th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710938899 NPPES
Wisconsin MEDICAID 41278400
Wisconsin Other 005A71450

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