Provider Demographics
NPI:1043614399
Name:SHEARER, CYNTHIA BURTON (APRN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:BURTON
Last Name:SHEARER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:BURTON
Other - Last Name:SCHUHMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:18560 N DALE MABRY HWY
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-7900
Mailing Address - Country:US
Mailing Address - Phone:813-948-7734
Mailing Address - Fax:844-971-6901
Practice Address - Street 1:18560 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-7900
Practice Address - Country:US
Practice Address - Phone:813-948-7734
Practice Address - Fax:844-971-6901
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9315775363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014794600Medicaid