Provider Demographics
NPI:1619281011
Name:SHUEMAKE, ANNA MARIA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:MARIA
Last Name:SHUEMAKE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:648 FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-6311
Mailing Address - Country:US
Mailing Address - Phone:850-769-6001
Mailing Address - Fax:
Practice Address - Street 1:2944 PENN AVE
Practice Address - Street 2:SUITE L
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32448-2738
Practice Address - Country:US
Practice Address - Phone:850-526-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5172191164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse