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NPI Code Detail

MEDICARE: CHRISTINE SHOAF NP

MEDICARE: CHRISTINE SHOAF NP
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
1163W00000XRegistered Nurse209337TN
2363LF0000XFamily Nurse PractitionerF0916929VA
3363LF0000XFamily Nurse Practitioner0001790-C-NPCO

General Provider Information

NPI Number : 1912456344
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE SHOAF NP
Provider Business Mailing Address
First Line : 25 NORTHRIDGE LN
Second Line :
City : LEXINGTON
State : VA
Zip : 24450-3399
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1107 S LEMAY AVE STE 200
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-3959
Country : US
Telephone Number : 970-484-1757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2016
Last Update Date : 02/26/2020

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