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Individual
MRS. GINA HIATT SHUMWAY
Active
Individual
MRS. GINA HIATT SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN0000187173
TN
363LA2100X
Acute Care Nurse Practitioner
RN207614
GA
Other
Enumeration date
11/01/2013
Last updated
08/29/2017
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