person
Dana Marie Shepherd, ARNP
Pediatric Nurse Practitioner in Centralia, Washington
NPI 1558480749

Dana Marie Shepherd is a Pediatric Nurse Practitioner based in Centralia, WA and is specialized in Pediatrics. Dana Marie Shepherd practices in Centralia, WA and has the professional credentials of ARNP. The NPI Number for Dana Marie Shepherd is 1558480749 and holds a License No. RN00145561 (Washington).

The current practice location address for Dana Marie Shepherd is 1911 Cooks Hill Rd, Centralia, WA and can be reached out via phone at 360-736-6778 and via fax at 360-736-6552.

Location: 1911 Cooks Hill Rd, Centralia, WA, 98531-9073
person
Provider Profile Details
NPI Number
1558480749
Provider Name
Dana Marie Shepherd
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1911 Cooks Hill Rd, Centralia, WA, 98531-9073
Phone Number
360-736-6778
Fax Number
360-736-6552
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2914SM 01 WA REGENCE
9636994 05 WA
1194SM 01 WA REGENCE
7057375 05 WA
9116SM 01 WA REGENCE
7131717 05 WA
7122617 05 WA
7131709 05 WA
institution
Provider Business Practice Location Address Details
Address
1911 Cooks Hill Rd
City
State
Zip
98531-9073
Phone Number
360-736-6778
Fax Number
360-736-6552
person
Provider Business Mailing Address Details
Address
1911 Cooks Hill Rd
City
State
Zip
98531-9073
Phone Number
360-736-6778
Fax Number
360-736-6552
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
AP30006273 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
RN00145561 (Washington)
Definition
Definition to come...
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