National Provider Identifier

Terria Elizabeth Shine

Terria Elizabeth Shine is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 831-7877.

NPI 1124543954Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1124543954
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 14, 2017
Last Updated
July 21, 2022

Practice Location

  • 244 Hempstead Ave
  • Buffalo, NY 14215-3404

Phone: (716) 831-7877

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1124543954
Entity Type
Individual
Last Name
Shine
First Name
Terria
Middle Name
Elizabeth
Mailing Street Address
244 Hempstead Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3404
Mailing Country
US
Mailing Phone
(716) 831-7877
Mailing Fax
(716) 831-8666
Practice Street Address
244 Hempstead Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3404
Practice Country
US
Practice Phone
(716) 831-7877
Practice Fax
(716) 831-8666
Enumeration Date
August 14, 2017
Last Updated
July 21, 2022
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)