MR. GARY SHINE RN NPI 1487392171

NPI Information

  • NPI: 1487392171
  • Provider Name: MR. GARY SHINE, RN
  • Classification: Registered Nurse - 163WP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 601 CHILDRENS LN
    NORFOLK, VA
    ZIP 23507
  • Phone: (757) 668-7315

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NPI Details

MR. Gary Shine, RN is a pediatrics registered nurse in Norfolk, VA. MR. Gary Shine, RN NPI is 1487392171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 CHILDRENS LN
NORFOLK, VA
ZIP 23507-971
Phone: (757) 668-7315

The enumeration date for this NPI number is 5/24/2022 and was last updated on 5/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0200XRegistered NursePediatrics0001272766VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10001272766OTHERVIRGINIARN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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