Individual
SAMANTHA LANE SHOOPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
509 N YAKIMA AVE APT 105, TACOMA, WA 98403-2316
(407) 579-1221
Mailing address
509 N YAKIMA AVE APT 105, TACOMA, WA 98403-2316
(407) 579-1221
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11008245
FL
Other
Enumeration date
07/27/2021
Last updated
09/21/2023
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