MEDICARE: BRITTANY SHOEMAKER

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
1	124Q00000X	Dental Hygienist	7001395	WI

General Provider Information

NPI Number	:	1255204798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY SHOEMAKER

Provider Business Mailing Address
First Line	:	413 N 17TH AVE
Second Line	:
City	:	WAUSAU
State	:	WI
Zip	:	54401-4611
Country	:	US
Telephone Number	:	715-298-3983
Fax Number	:

Provider Business Practice Location Address
First Line	:	2633 DEVELOPMENT DR STE 40
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-4239
Country	:	US
Telephone Number	:	715-298-3983
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

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Directions to “ BRITTANY SHOEMAKER ” Practice Location

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