Individual
KATHERINE MARIE SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
621 S NEW BALLAS RD STE 5003B, SAINT LOUIS, MO 63141
(314) 251-8892
(314) 251-8894
Mailing address
621 S NEW BALLAS RD STE 5003B, SAINT LOUIS, MO 63141-8270
(314) 251-8892
(314) 251-8894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2004018456
MO
Other
Enumeration date
08/29/2013
Last updated
08/14/2019
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