Individual
CHRISTIE R SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
151 COUNTRY LANE DR, LUMBERTON, TX 77657-6803
(409) 755-3010
Mailing address
2900 SAINT MICHAEL DR STE 401, TEXARKANA, TX 75503-5211
(903) 614-5367
(903) 614-5343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP144043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K0581
MEDICARE
TX
05
—
408922902
—
TX
01
—
P02601527
MCRR
TX
Enumeration date
11/20/2019
Last updated
04/09/2021
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