Provider Demographics
NPI:1225616840
Name:NAY, CHRISTINE LYNN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:LYNN
Last Name:NAY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SHORELINE FAMILY HEALTH CARE
Mailing Address - Street 2:221 WEST MAIN STREET
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405
Mailing Address - Country:US
Mailing Address - Phone:203-871-4188
Mailing Address - Fax:203-871-4177
Practice Address - Street 1:SHORELINE FAMILY HEALTH CARE
Practice Address - Street 2:221 WEST MAIN STREET
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405
Practice Address - Country:US
Practice Address - Phone:203-871-4188
Practice Address - Fax:203-871-4177
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10.116709163W00000X
CT9628363L00000X
CT12.009628363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner