Individual
STEPHANIE A SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
4003 CREEKSIDE LOOP, YAKIMA, WA 98908-3962
(509) 248-3263
(509) 225-2705
Mailing address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP 60193374
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215062501
—
TX
05
—
215062502
—
TX
05
—
215062503
—
TX
Enumeration date
07/28/2009
Last updated
12/21/2021
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