Shoemaker, Andrea M.

Shoemaker, Andrea M. is an sole proprietor health care provider with primary practice located at 4674 Woolworth Avenue , Omaha NE 68106-2041. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Shoemaker, Andrea M. can be contacted via phone (402) 559-4081.

Contact Information

Primary practice address
4674 Woolworth Avenue Omaha NE 68106-2041
Phone: (402) 559-4081
Fax: (402) 559-7372
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 56738 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 100984 Nebraska

Profile Details

NPI number 1518096718
LBN Legal business name Shoemaker, Andrea M.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Aug 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518096718 NPPES
Nebraska MEDICAID 47078557515

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