Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP8925 | AZ |
NPI | 1033414453 |
---|---|
Provider Name | Julia D Shemek |
First Address | Tucson, AZ 85756-8466 |
Second Address | Tucson, AZ 85756-8466 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2011 |
Last Update Date | 04/09/2016 |