| NPI | 1073773396 |
|---|---|
| Former Name | NANCY DENISE SHEPHERD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201801253NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N13284) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60030458) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2022-01-10 |