NPI Profile for SHARLOTTE J SHORE in ROCK SPRINGS, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse First Assistant |
163WR0006X |
| NPI Number | 1356533657 |
|
| Status | Active | |
| Credentials | RNFA | |
| Entity | Individual | |
| Enumeration date | 08/10/2007 | |
| Last updated | 07/26/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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SHARLOTTE J SHORE
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