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NPI Code Detail

MEDICARE: MRS. ERIN MARGARET SHEPHERD MSN, FNP-BC

MEDICARE: MRS. ERIN MARGARET SHEPHERD MSN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704262879MI

General Provider Information

NPI Number : 1114204773
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERIN MARGARET SHEPHERD MSN, FNP-BC
Provider Business Mailing Address
First Line : 4001 W MCNICHOLS RD
Second Line :
City : DETROIT
State : MI
Zip : 48221-3038
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4001 W MCNICHOLS RD
Second Line :
City : DETROIT
State : MI
Zip : 48221-3038
Country : US
Telephone Number : 313-993-1185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2011
Last Update Date : 02/05/2013

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