Healthcare Provider Details

I. General information

NPI: 1356836639
Provider Name (Legal Business Name): MICHAEL KARL SHEPLER NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2018
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2013 KELLY LN
PFLUGERVILLE TX
78660-7879
US

IV. Provider business mailing address

10583 W LAKE HAZEL RD
BOISE ID
83709-6326
US

V. Phone/Fax

Practice location:
  • Phone: 512-990-0814
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number59019
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP141349
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: