Individual
MRS. AMY PARR SHORTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
111 E THIRD AVE, GASTONIA, NC 28052-4343
(704) 874-3300
(704) 874-0065
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
(704) 867-2134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
50-03928
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004138
—
NC
Enumeration date
03/19/2008
Last updated
11/04/2019
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