Provider Demographics
NPI:1922698968
Name:SHIREMAN, VERONICA MAE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:MAE
Last Name:SHIREMAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 ATWOOD ST
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-1878
Mailing Address - Country:US
Mailing Address - Phone:812-738-3237
Mailing Address - Fax:
Practice Address - Street 1:241 ATWOOD ST
Practice Address - Street 2:
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-1878
Practice Address - Country:US
Practice Address - Phone:812-738-3237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-23
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3015713363LW0102X
IN71013188A363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health