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NPI Code Detail

MEDICARE: CHRISTINA SHEPPARD APRN, NP-C

MEDICARE: CHRISTINA SHEPPARD APRN, NP-C
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 PractitionerAPRN002353NV

General Provider Information

NPI Number : 1467995159
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA SHEPPARD APRN, NP-C
Provider Business Mailing Address
First Line : 1001 E 9TH ST
Second Line :
City : RENO
State : NV
Zip : 89512-2845
Country : US
Telephone Number : 775-328-2477
Fax Number :
Provider Business Practice Location Address
First Line : 1001 E 9TH ST
Second Line :
City : RENO
State : NV
Zip : 89512-2845
Country : US
Telephone Number : 775-328-2477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2016
Last Update Date : 07/27/2022

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