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Individual

MS. HEATHER A SHEWMAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3410 WORTH ST, SUITE 250, DALLAS, TX 75246-2003
(214) 820-6856
(214) 820-1474
Mailing address
3410 WORTH ST, SUITE 250, DALLAS, TX 75246-2003
(214) 820-6856
(214) 820-1474

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
631656
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
297840501
TX
05
297840502
TX
Enumeration date
03/10/2010
Last updated
04/11/2022
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