MEDICARE: MRS. AMY PARR SHORTRIDGE FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	50-03928	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457522252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY PARR SHORTRIDGE FNP-C

Provider Business Mailing Address
First Line	:	200 E 2ND AVE
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28052-4358
Country	:	US
Telephone Number	:	704-874-1904
Fax Number	:	704-867-2134

Provider Business Practice Location Address
First Line	:	111 E THIRD AVE
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28052-4343
Country	:	US
Telephone Number	:	704-874-3300
Fax Number	:	704-874-0065

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2008
Last Update Date	:	11/04/2019

Similar Medicare Providers

1548389125 — GASTON FAMILY HEALTH SERVICES, INC.
Practice Location Address:

111 E 3RD AVE
GASTONIA, NC
28052-4343

Practice Phone: 704-874-3300
Practice Fax: 704-874-0065

1467458588 — JEAN LAZENBY BENTON FNP-C
Practice Location Address:

111 E THIRD AVE
GASTONIA, NC
28052-4343

Practice Phone: 704-874-3300
Practice Fax: 704-874-0065

1497751481 — VAN J STITT JR. MD
Practice Location Address:

111 E 3RD AVE
GASTONIA, NC
28052-4343

Practice Phone: 704-853-5294
Practice Fax: 704-862-5383

1932152121 — SHANA DANETTE JAMES-NZAMBELE MD
Practice Location Address:

111 E THIRD AVE
GASTONIA, NC
28052-4343

Practice Phone: 704-874-3300
Practice Fax:

1639239254 — DR. ROBERT ALAN FORINASH MD
Practice Location Address:

111 E 3RD AVE
GASTONIA, NC
28052-4343

Practice Phone: 704-874-3300
Practice Fax: 704-874-0065

1245350305 — TAMMY S. PALUMBO RD, LDN, CDE
Practice Location Address:

111 E THIRD AVE
GASTONIA, NC
28052-4343

Practice Phone: 704-874-3300
Practice Fax:

Directions to “ MRS. AMY PARR SHORTRIDGE FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.