Healthcare Provider Details

I. General information

NPI: 1346675428
Provider Name (Legal Business Name): ANDREA J SHEARER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 09/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5258 LINTON BLVD SUITE 301
DELRAY BEACH FL
33484-6540
US

IV. Provider business mailing address

12597 COLONY PRESERVE DR
BOYNTON BEACH FL
33436-5820
US

V. Phone/Fax

Practice location:
  • Phone: 561-819-5447
  • Fax: 561-819-5496
Mailing address:
  • Phone: 561-819-5447
  • Fax: 561-819-5496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP9285840
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberARNP9285840
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: