person
Mary T Sheppard, PNP
Pediatric Nurse Practitioner in Buffalo, New York
NPI 1417913096

Mary T Sheppard is a Pediatric Nurse Practitioner based in Buffalo, NY and is specialized in Pediatrics. Mary T Sheppard practices in Buffalo, NY and has the professional credentials of PNP. The NPI Number for Mary T Sheppard is 1417913096 and holds a License No. F380546 (New York).

The current practice location address for Mary T Sheppard is 1001 Main St Fl 4, Buffalo, NY and can be reached out via phone at 716-323-0110 and via fax at 716-323-0296.

Location: 1001 Main St Fl 4, Buffalo, NY, 14203-1009
person
Provider Profile Details
NPI Number
1417913096
Provider Name
Mary T Sheppard
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
1001 Main St Fl 4, Buffalo, NY, 14203-1009
Phone Number
716-323-0110
Fax Number
716-323-0296
Provider Enumeration Date
04/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02344723 05 NY
071112000039 01 FIDELIS
080407000110 01 FIDELIS
institution
Provider Business Practice Location Address Details
Address
1001 Main St Fl 4
City
State
Zip
14203-1009
Phone Number
716-323-0110
Fax Number
716-323-0296
person
Provider Business Mailing Address Details
Address
1001 Main St Fl 4
City
State
Zip
14203-1009
Phone Number
716-323-0110
Fax Number
716-323-0296
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
F380546 (New York)
Definition
Definition to come...
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