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NPI Code Detail

MEDICARE: MS. ANN ELIZABETH SHOEMAKER CPNP

MEDICARE: MS. ANN ELIZABETH SHOEMAKER CPNP
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
1363LP0200XPediatric Nurse Practitioner0024123756VA

General Provider Information

NPI Number : 1326037318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANN ELIZABETH SHOEMAKER CPNP
Provider Business Mailing Address
First Line : 306 FAIRWAY LN
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-5626
Country : US
Telephone Number : 757-886-1001
Fax Number :
Provider Business Practice Location Address
First Line : 576 JEFFERSON AVE
Second Line :
City : FORT EUSTIS
State : VA
Zip : 23604-1602
Country : US
Telephone Number : 757-314-7543
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 07/08/2007

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