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NPI Code Detail

MEDICARE: MRS. MARY K. SHUMAKER R.N.

MEDICARE:  MRS. MARY K. SHUMAKER  R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN156571OH

General Provider Information

NPI Number : 1073749925
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY K. SHUMAKER R.N.
Provider Business Mailing Address
First Line : 2000 BROOKHURST AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-1512
Country : US
Telephone Number : 614-648-7693
Fax Number :
Provider Business Practice Location Address
First Line : 2000 BROOKHURST AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-1512
Country : US
Telephone Number : 614-648-7693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2009
Last Update Date : 06/05/2009

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Directions to “ MRS. MARY K. SHUMAKER R.N.” Practice Location

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