Mr Gary Shine, RN - Registered Nurse in Norfolk, VA

Mr Gary Shine, RN is a Registered Nurse - Pediatrics based in Norfolk, Virginia. Mr Gary Shine is licensed to practice in Virginia (license number 0001272766) and his current practice location is 601 Childrens Ln, Norfolk, Virginia. He can be reached at his office (for appointments etc.) via phone at (757) 668-7315.

NPI number for Mr Gary Shine is 1487392171 and his current mailing address is 1661 Spring House Trl, Virginia Beach, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487392171.

Contact Information

Mr Gary Shine, RN
601 Childrens Ln,
Norfolk, VA 23507-1971
(757) 668-7315
Not Available

Map and Direction




Provider's Profile

Full NameMr Gary Shine
GenderMale
SpecialityRegistered Nurse - Pediatrics
Location601 Childrens Ln, Norfolk, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487392171
  • Provider Enumeration Date: 05/24/2022
  • Last Update Date: 05/24/2022

Medical Identifiers

Medical identifiers for Mr Gary Shine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487392171NPI-NPPES
0001272766OtherVARN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0200XRegistered Nurse - Pediatrics 0001272766 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gary Shine is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Gary Shine, RN
1661 Spring House Trl,
Virginia Beach, VA 23455-7005

Ph: (757) 282-9621
Mr Gary Shine, RN
601 Childrens Ln,
Norfolk, VA 23507-1971

Ph: (757) 668-7315

Reviews and Comments


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