Healthcare Provider Details

I. General information

NPI: 1801574603
Provider Name (Legal Business Name): CHRISTINE A SHUEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 DUAL HWY STE 303
HAGERSTOWN MD
21740-6648
US

IV. Provider business mailing address

1800 DUAL HWY STE 303
HAGERSTOWN MD
21740-6648
US

V. Phone/Fax

Practice location:
  • Phone: 240-329-0782
  • Fax: 301-739-0402
Mailing address:
  • Phone: 240-329-0782
  • Fax: 301-739-0402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024187466
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: