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NPI Code Detail

MEDICARE: BECKI D SHUMAKER FNP

MEDICARE: BECKI D SHUMAKER FNP
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
1363LF0000XFamily Nurse Practitioner066781AZ
2163W00000XRegistered Nurse066781AZ

General Provider Information

NPI Number : 1225068562
Entity Type Code : Individual
Provider Name (Legal Business Name) : BECKI D SHUMAKER FNP
Provider Business Mailing Address
First Line : 2601 S HOUGHTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1525
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2601 S HOUGHTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1525
Country : US
Telephone Number : 401-770-6292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 03/31/2016

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