Individual
CHRISTIE D. SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
10501 FGCU BLVD S, STUDENT HEALTH CENTER/FGCU, FORT MYERS, FL 33965-6502
(239) 590-7966
(239) 590-7968
Mailing address
3775 WINKLER AVENUE EXT, APT. 524, FORT MYERS, FL 33916-7739
(239) 936-4129
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1300302
FL
Other
Enumeration date
07/01/2005
Last updated
01/13/2011
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