Provider Demographics
NPI:1235719758
Name:SHEARER, ANN LANDWEHR (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LANDWEHR
Last Name:SHEARER
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-4174
Mailing Address - Country:US
Mailing Address - Phone:410-916-9450
Mailing Address - Fax:
Practice Address - Street 1:62 PARK AVE
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-4174
Practice Address - Country:US
Practice Address - Phone:410-916-9450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
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