MARY LYNN EICHERT SHAMBO NP
NPI 1740790724
Nurse Practitioner - Family in Vero Beach, FL

Q: What is Mary Lynn Shambo's NPI number?

The NPI number for Mary Lynn Shambo is 1740790724. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Q: What is Mary Lynn Shambo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Lynn Shambo was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2017

2101 INDIAN RIVER BLVD STE 106, VERO BEACH, FL 32960(772) 217-8664 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Lynn Eichert Shambo Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LYNN EICHERT SHAMBO NP (NPI 1740790724) is an individual family provider in Vero Beach, Florida, licensed in California (95005931) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1740790724

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY LYNN EICHERT SHAMBOCredential: NP

Location Address2101 INDIAN RIVER BLVD STE 106Vero Beach, FL 32960-7700

Mailing Address2101 Indian River Blvd Ste 106Vero Beach, FL 32960-7700 · (704) 516-6782

Phone(772) 217-8664

Sole ProprietorYes

Enumeration DateOctober 4, 2017

Last NPPES UpdateApril 28, 2025

NPPES CertifiedApril 28, 2025

✔ NPI 1740790724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in CA · 95005931✔ Licensed in FL · 11011134

2101 INDIAN RIVER BLVD STE 106, Vero Beach, FL 32960

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Lynn Shambo's NPI number?

The NPI number for Mary Lynn Shambo is 1740790724. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Where is Mary Lynn Shambo located?

Mary Lynn Shambo practices at 2101 Indian River Blvd Ste 106, Vero Beach, FL 32960. The listed phone number is (772) 217-8664.

What is Mary Lynn Shambo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Lynn Shambo was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.