Provider Demographics
NPI:1316769920
Name:SHINN, LORIE (PMHNP)
Entity type:Individual
Prefix:
First Name:LORIE
Middle Name:
Last Name:SHINN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 W THATCHER RD
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-2508
Mailing Address - Country:US
Mailing Address - Phone:267-733-2116
Mailing Address - Fax:
Practice Address - Street 1:270 W THATCHER RD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-2508
Practice Address - Country:US
Practice Address - Phone:267-733-2116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-26
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP031094363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASP031094OtherNP LICENSE
2024056572OtherANCC PMHNP-BC
PARN515026LOtherRN LICENSE