Provider Demographics
NPI:1235889437
Name:SHOEMAKER, ANNA MARIE (CD (DONA))
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:SHOEMAKER
Suffix:
Gender:F
Credentials:CD (DONA)
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIE
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15980 SAINT PIERRE RD
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:MI
Mailing Address - Zip Code:49613-9728
Mailing Address - Country:US
Mailing Address - Phone:419-806-5819
Mailing Address - Fax:
Practice Address - Street 1:15980 SAINT PIERRE RD
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:MI
Practice Address - Zip Code:49613-9728
Practice Address - Country:US
Practice Address - Phone:419-806-5819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14566374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
14566OtherDONA LICENSE NUMBER