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Individual

MS. SHARLOTTE JANE SHORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNFA

Contact information

Practice address
2620 COMMERCIAL WAY STE 20, ROCK SPRINGS, WY 82901-4705
(307) 212-6270
(307) 212-6271
Mailing address
2620 COMMERCIAL WAY STE 20, ROCK SPRINGS, WY 82901-4705
(307) 212-6270
(307) 212-6271

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
578438
TX
363LF0000X
Family Nurse Practitioner
Primary
578438
TX

Other

Enumeration date
08/10/2007
Last updated
07/26/2021
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