Individual
DESIREE L SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9120 TYNE TRL, FORT WORTH, TX 76118-7576
(414) 708-0036
Mailing address
9120 TYNE TRL, FORT WORTH, TX 76118-7576
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1033002
TX
363LA2100X
Acute Care Nurse Practitioner
1033002
TX
363LA2200X
Adult Health Nurse Practitioner
1033002
TX
363LF0000X
Family Nurse Practitioner
1033002
TX
363LP2300X
Primary Care Nurse Practitioner
1033002
TX
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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