Provider Demographics
NPI:1346675428
Name:SHEARER, ANDREA J (NP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:J
Last Name:SHEARER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12597 COLONY PRESERVE DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-5820
Mailing Address - Country:US
Mailing Address - Phone:561-819-5447
Mailing Address - Fax:561-819-5496
Practice Address - Street 1:5258 LINTON BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6540
Practice Address - Country:US
Practice Address - Phone:561-819-5447
Practice Address - Fax:561-819-5496
Is Sole Proprietor?:No
Enumeration Date:2013-09-09
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9285840363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology