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NPI Code Detail

MEDICARE: ELIZABETH SNYDER SHEARER DNP, CRNP, AGNP-C

MEDICARE: ELIZABETH SNYDER SHEARER DNP, CRNP, AGNP-C
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
1363L00000XNurse PractitionerR229333MD

General Provider Information

NPI Number : 1235818030
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SNYDER SHEARER DNP, CRNP, AGNP-C
Provider Business Mailing Address
First Line : 7751 BELFORT PKWY STE 120
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6921
Country : US
Telephone Number : 904-372-3943
Fax Number : 904-212-1618
Provider Business Practice Location Address
First Line : 301 HOSPITAL DR
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-5803
Country : US
Telephone Number : 904-372-3943
Fax Number : 904-212-1618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2023
Last Update Date : 06/08/2026

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