SHAWNEE RENEE FUDURICH


Address: 10230 W Happy Valley Pkwy Ste 100, Peoria, AZ 85383-4255
Phone: 6235613030

SHAWNEE RENEE FUDURICH (NPI# 1861057507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861057507
Entity Type Individual
Full Name SHAWNEE RENEE FUDURICH
Other Name SHAWNEE RENEE BRUNNEMER
Credential FNP-C
Practice Address 10230 W Happy Valley Pkwy Ste 100
Peoria
AZ 85383-4255
Mailing Address 28508 N 66th Ln
Phoenix
AZ 85083-7599
Practice Telephone 6235613030
Mailing Telephone 6236704324
Enumeration Date 2019-05-08
Last Update Date 2019-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
224194 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10230 W HAPPY VALLEY PKWY STE 100
City PEORIA
State AZ
Zip Code 85383-4255

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NPI Name Taxonomy Address Enumeration
1831701218 West Point Optical Group Optometrist 24775 N. Pleasant Pkwy, Peoria, AZ 85383 2020-08-18
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1124502273 Nicole Angelina Hennigan Registered Nurse 9710 W. Happy Valley Rd, Suite 100 (salon 16), Peoria, AZ 85383 2018-09-24
1962994012 Reach for The Stars Pediatric Therapy Pllc Physical Therapy Assistant 8662 W Lariat Ln, Peoria, AZ 85383 2018-06-05
1013417617 Elite Infusions LLC Internal Medicine 10252 W Villa Chula, Peoria, AZ 85383 2018-02-20
1427577238 Serene Valley Care LLC Assisted Living Facility 29751 N 119th Lane, Peoria, AZ 85383 2017-09-12
1255857827 Advanced Air Amulance LLC Ambulance 9463 West El Cortez Place, Peoria, AZ 85383 2017-08-16
1427578996 Paul R Arthur Physical Therapist 9745 W. Happy Valley Rd, Peoria, AZ 85383 2017-06-26
1528597143 Lucy Denton Specialist/Technologist 9234 West Andrea Drive, Peoria, AZ 85383 2017-06-07
1801263579 John Leano Pharmacist 26898 N 87th Dr, Peoria, AZ 85383 2015-08-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881295541 Britney Julia Durst Nurse Practitioner 5905 N Prospect Rd, Peoria, IL 61614-4311 2020-11-07
1598362980 Courtney Klein Nurse Practitioner 1306 N. Berkley Ave, Peoria, IL 61603 2020-10-08
1699390039 Steven Joel Schlink Nurse Practitioner 12920 W Roy Rogers Rd, Peoria, AZ 85383-5334 2020-06-11
1457986929 Chanelle Christine Maclin Nurse Practitioner 504 E Kansas St, Peoria, IL 61603-2554 2020-03-05
1225677495 Michelle Chacon Nurse Practitioner 23201 N 87th Dr, Peoria, AZ 85383-1860 2020-01-05
1689218042 Patricia Nwakaego Ayemoba Nurse Practitioner 16018 N 74th Dr, Peoria, AZ 85382-1810 2019-10-29
1144877267 Eunice Wright Nurse Practitioner 26826 N 85th Dr, Peoria, AZ 85383-3624 2019-08-22
1265096895 Razel Espiritu Hernandez Nurse Practitioner 25435 N 115th Ave, Peoria, AZ 85383-9789 2019-04-29
1619435310 Jennifer Gayle Ries-clark Nurse Practitioner 8009 W Salter Dr, Peoria, AZ 85382-4440 2019-03-12
1679038749 Darnell L Keys Nurse Practitioner 12799 W Lowden Rd, Peoria, AZ 85383-7805 2019-02-04
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Competitor

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City PEORIA
Zip Code 85383

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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