Individual
MARY SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 W 119TH ST, SUITE 120, OVERLAND PARK, KS 66209-3721
(913) 906-0833
Mailing address
5701 W 119TH ST, SUITE 120, OVERLAND PARK, KS 66209-3721
(913) 906-0833
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2013037709
MO
363L00000X
Nurse Practitioner
Primary
5376022
KS
Other
Enumeration date
11/04/2013
Last updated
01/24/2022
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