Individual
MRS. SARAH SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1255
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1255
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209023652
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041462384
STATE LICENSE
IL
01
—
209023652
ADVANCED PRACTICE REGISTERED NURSE
IL
Enumeration date
06/15/2021
Last updated
03/03/2022
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