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Glenda Mcgowen Shepard, ARNP
Adult Health Nurse Practitioner in University Place, Washington
NPI 1528337995

Glenda Mcgowen Shepard is an Adult Health Nurse Practitioner based in University Place, WA and is specialized in Adult Health. Glenda Mcgowen Shepard practices in University Place, WA and has the professional credentials of ARNP. The NPI Number for Glenda Mcgowen Shepard is 1528337995 and holds a License No. AP60243389 (Washington).

The current practice location address for Glenda Mcgowen Shepard is 2901 Bridgeport Way W, University Place, WA and can be reached out via phone at 253-534-7000 and via fax at 253-534-7099.

Location: 2901 Bridgeport Way W, University Place, WA, 98466-4614
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Provider Profile Details
NPI Number
1528337995
Provider Name
Glenda Mcgowen Shepard
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
2901 Bridgeport Way W, University Place, WA, 98466-4614
Phone Number
253-534-7000
Fax Number
253-534-7099
Provider Enumeration Date
12/14/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0289073 01 WA STATE L&I
0289071 01 WA STATE L&I
institution
Provider Business Practice Location Address Details
Address
2901 Bridgeport Way W
City
State
Zip
98466-4614
Phone Number
253-534-7000
Fax Number
253-534-7099
person
Provider Business Mailing Address Details
Address
2901 Bridgeport Way W
City
State
Zip
98466-4614
Phone Number
253-534-7000
Fax Number
253-534-7099
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
AP60243389 (Washington)
Definition
Definition to come...
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