Healthcare Provider Details

I. General information

NPI: 1548175938
Provider Name (Legal Business Name): RACHEL SHUMAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 960 NAVAL HOSPITAL CAMP FOSTER
FPO AP
96362
US

IV. Provider business mailing address

PSC 555 BOX 513
FPO AP
96315-0006
US

V. Phone/Fax

Practice location:
  • Phone: 315-646-9355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number813660
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: