| Doctor Name: | SANDRA LOUISE SHUMAKER |
| NPI Number: | 1255306551 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP-C |
| License Number: | L113973 |
| Business Practice Address: | 921 Spyglass Cir Cnos, Pc Dakota Dunes, SD - 570495101 |
| Business Phone Number: | 7124908422 |
| Business Fax Number: | |
| Mailing Address: | 921 Spyglass Cir, Cnos, Pc DAKOTA DUNES |
| State: | SD |
| Postal Code: | 570495101 |
| Phone Number: | 7124908422 |
| Fax Number: | |
| NPI Enumeration Date: | 02/21/2006 |
| NPI Last Update Date: | 05/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | L113973 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |