Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1316659253 |
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| LBN Legal business name | ALL HEALTHCARE LLC | ||||
| Authorized official | ERICA SHUMWAY - (PROVIDER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/22/2022 | ||||
| Last updated | 09/12/2025 - About 9 months ago | ||||
| Identifiers |
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