Provider Demographics
NPI:1578037834
Name:SHUMAKER, EMILY JOANN (NP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:JOANN
Last Name:SHUMAKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:JOANN
Other - Last Name:BRAUNINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:5226 DAWES AVENUE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311
Mailing Address - Country:US
Mailing Address - Phone:901-289-2439
Mailing Address - Fax:703-212-9160
Practice Address - Street 1:5226 DAWES AVENUE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311
Practice Address - Country:US
Practice Address - Phone:901-289-2439
Practice Address - Fax:703-212-9160
Is Sole Proprietor?:No
Enumeration Date:2019-01-18
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176895363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care