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NPI Code Detail

MEDICARE: MS. RITA JANE SHEWMAKE ARNP

MEDICARE: MS. RITA JANE SHEWMAKE ARNP
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
1363L00000XNurse Practitioner44115OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841267440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RITA JANE SHEWMAKE ARNP
Provider Business Mailing Address
First Line : 5300 N INDEPENDENCE AVE
Second Line : 280
City : OKLAHOMA CITY
State : OK
Zip : 73112-5556
Country : US
Telephone Number : 918-540-7573
Fax Number : 918-540-7590
Provider Business Practice Location Address
First Line : 200 2ND AVE SW
Second Line :
City : MIAMI
State : OK
Zip : 74354-6830
Country : US
Telephone Number : 918-540-7573
Fax Number : 918-540-7590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 04/05/2017

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