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NPI Code Detail

MEDICARE: ALENA SHOEMAKER

MEDICARE: ALENA SHOEMAKER
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
1363A00000XPhysician Assistant134860IA

General Provider Information

NPI Number : 1457146151
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALENA SHOEMAKER
Provider Business Mailing Address
First Line : 1351 W CENTRAL PARK AVE STE 4100
Second Line :
City : DAVENPORT
State : IA
Zip : 52804-1847
Country : US
Telephone Number : 563-421-2641
Fax Number : 563-441-0544
Provider Business Practice Location Address
First Line : 8025 GRAND AVE
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50266-5360
Country : US
Telephone Number : 515-271-1569
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2025
Last Update Date : 01/29/2026

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Directions to “ ALENA SHOEMAKER ” Practice Location

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