Provider Demographics
NPI:1609979525
Name:SHOEMAKER, PATRICIA SHEARER (NP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:SHEARER
Last Name:SHOEMAKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:ELAINE
Other - Last Name:SHEARER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:4323 GLEN CANYON CIR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-6447
Mailing Address - Country:US
Mailing Address - Phone:925-267-2343
Mailing Address - Fax:
Practice Address - Street 1:2425 GEARY BLVD
Practice Address - Street 2:PERIOPERATIVE MEDICINE CENTER - 4404A
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3358
Practice Address - Country:US
Practice Address - Phone:415-833-2376
Practice Address - Fax:415-833-2379
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP8548363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP27229/ZZZ20451ZMedicare UPIN