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NPI Code Detail

MEDICARE: SANDRA SHOEMAKE RN OPAC

MEDICARE: SANDRA SHOEMAKE RN OPAC
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
1163WX0800XOrthopedic Registered NurseRN047060TN
2363AM0700XMedical Physician AssistantOPA0805TN

General Provider Information

NPI Number : 1366590705
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA SHOEMAKE RN OPAC
Provider Business Mailing Address
First Line : 206 BEDFORD WAY
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-5526
Country : US
Telephone Number : 615-790-3290
Fax Number : 615-794-8845
Provider Business Practice Location Address
First Line : 206 BEDFORD WAY
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-5526
Country : US
Telephone Number : 615-790-3290
Fax Number : 615-794-8845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 09/11/2025

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