Provider Demographics
NPI:1275918492
Name:SHEARMIRE, DEVON ELISE (PA)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:ELISE
Last Name:SHEARMIRE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:504 TAMPA ST
Mailing Address - Street 2:
Mailing Address - City:LAKIN
Mailing Address - State:KS
Mailing Address - Zip Code:67860-9784
Mailing Address - Country:US
Mailing Address - Phone:620-355-7550
Mailing Address - Fax:620-355-7500
Practice Address - Street 1:506 E THORPE ST
Practice Address - Street 2:
Practice Address - City:LAKIN
Practice Address - State:KS
Practice Address - Zip Code:67860-9625
Practice Address - Country:US
Practice Address - Phone:620-355-7500
Practice Address - Fax:620-355-7550
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant