Shine, Lisa Marie
Shine, Lisa Marie is an sole proprietor health care provider with primary practice located at 2807 N Glebe Rd , Arlington VA 22207-4299. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shine, Lisa Marie can be contacted via phone (703) 908-7565.Contact Information
Primary practice address
2807 N Glebe Rd
Arlington VA 22207-4299
Phone: (703) 908-7565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN1034257 | District of Columbia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024180918 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN1034257 | District of Columbia |
Profile Details
| NPI number | 1649879545 |
|---|---|
| LBN Legal business name | Shine, Lisa Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2020 |
| Last updated | Dec 20th, 2022 - about 4 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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