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Individual

CHRISTINE SHOAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1107 S LEMAY AVE STE 200, FORT COLLINS, CO 80524-3959
(970) 484-1757
Mailing address
25 NORTHRIDGE LN, LEXINGTON, VA 24450-3399

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
209337
TN
363LF0000X
Family Nurse Practitioner
Primary
0001790-C-NP
CO
363LF0000X
Family Nurse Practitioner
F0916929
VA

Other

Enumeration date
09/27/2016
Last updated
02/26/2020
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