Healthcare Provider Details

I. General information

NPI: 1932426855
Provider Name (Legal Business Name): LYNN A. SHUMAKER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2010
Last Update Date: 05/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N HANOVER ST
CARLISLE PA
17013-2421
US

IV. Provider business mailing address

100 N HANOVER ST
CARLISLE PA
17013-2421
US

V. Phone/Fax

Practice location:
  • Phone: 717-960-4323
  • Fax: 717-960-4373
Mailing address:
  • Phone: 717-960-4323
  • Fax: 717-960-4373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN333005L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN333005L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: