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Individual

SANDRA LOUISE SHUMAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-C

Contact information

Practice address
921 SPYGLASS CIR, CNOS, PC, DAKOTA DUNES, SD 57049-5101
(712) 490-8422
Mailing address
921 SPYGLASS CIR, CNOS, PC, DAKOTA DUNES, SD 57049-5101
(712) 490-8422

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
111169
NE
363LA2100X
Acute Care Nurse Practitioner
Primary
CP000461
SD
363LA2100X
Acute Care Nurse Practitioner
L113973
IA

Other

Enumeration date
02/21/2006
Last updated
05/05/2016
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