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Individual

ANGEL DAWN SHUMAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5400 CORNERSTONE NORTH BLVD, CENTERVILLE, OH 45440-2273
(937) 528-7070
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3100
(615) 425-4200

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0032988
OH
363LF0000X
Family Nurse Practitioner
F10221411
OH
363LP2300X
Primary Care Nurse Practitioner
F10221411
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1144932633
FNP
OH
Enumeration date
12/16/2022
Last updated
04/27/2023
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