MEDICARE: MRS. PATRICIA SHEARER SHOEMAKER N.P.

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
1	363LF0000X	Family Nurse Practitioner	NP8548	CA

General Provider Information

NPI Number	:	1609979525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA SHEARER SHOEMAKER N.P.

Provider Business Mailing Address
First Line	:	4323 GLEN CANYON CIR
Second Line	:
City	:	PITTSBURG
State	:	CA
Zip	:	94565-6447
Country	:	US
Telephone Number	:	925-267-2343
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 GEARY BLVD
Second Line	:	PERIOPERATIVE MEDICINE CENTER - 4404A
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3358
Country	:	US
Telephone Number	:	415-833-2376
Fax Number	:	415-833-2379

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	11/30/2010

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