Shine, Lisa Marie

Shine, Lisa Marie is an sole proprietor health care provider with primary practice located at 2807 N Glebe Rd , Arlington VA 22207-4299. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shine, Lisa Marie can be contacted via phone (703) 908-7565.

Contact Information

Primary practice address
2807 N Glebe Rd Arlington VA 22207-4299
Phone: (703) 908-7565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN1034257 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024180918 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN1034257 District of Columbia

Profile Details

NPI number 1649879545
LBN Legal business name Shine, Lisa Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2020
Last updated Dec 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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