Individual
MS. LISA MARIE SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2807 N GLEBE RD, ARLINGTON, VA 22207-4299
(703) 908-7565
Mailing address
3324 BLAINE ST NE, WASHINGTON, DC 20019-1327
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1034257
DC
363LF0000X
Family Nurse Practitioner
0024180918
VA
363LF0000X
Family Nurse Practitioner
Primary
RN1034257
DC
Other
Enumeration date
10/21/2020
Last updated
12/20/2022
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