Provider Demographics
NPI:1689263113
Name:SHUMAKER, RACHAEL MARIE (APRN/CRNP)
Entity Type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:MARIE
Last Name:SHUMAKER
Suffix:
Gender:F
Credentials:APRN/CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 E LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36502-3014
Mailing Address - Country:US
Mailing Address - Phone:251-368-6960
Mailing Address - Fax:251-368-1378
Practice Address - Street 1:609 E LAUREL ST
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-3014
Practice Address - Country:US
Practice Address - Phone:251-368-6960
Practice Address - Fax:251-368-1378
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11011010363L00000X
AL1-193485363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner