Individual
SHINE PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
75 HOLLY HILL LN STE 201, GREENWICH, CT 06830-2912
(203) 276-2516
(203) 276-2515
Mailing address
75 HOLLY HILL LN STE 201, GREENWICH, CT 06830-2912
(203) 276-2516
(203) 276-2515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13204
CT
Other
Enumeration date
06/16/2016
Last updated
07/26/2024
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