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Renee Elizabeth Shepherd, DPM
Foot & Ankle Surgery Podiatrist in Glen Allen, Virginia
NPI 1558713420

Renee Elizabeth Shepherd is a Foot & Ankle Surgery Podiatrist based in Glen Allen, VA and is specialized in Foot & Ankle Surgery. Renee Elizabeth Shepherd practices in Glen Allen, VA and has the professional credentials of DPM. The NPI Number for Renee Elizabeth Shepherd is 1558713420 and holds a License No. E5569 (Virginia).

The current practice location address for Renee Elizabeth Shepherd is 3974 Springfield Rd, Glen Allen, VA and can be reached out via phone at 804-273-1717 and via fax at 804-273-1834.

Location: 3974 Springfield Rd, Glen Allen, VA, 23060-4119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558713420
Provider Name
Renee Elizabeth Shepherd
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
3974 Springfield Rd, Glen Allen, VA, 23060-4119
Phone Number
804-273-1717
Fax Number
804-273-1834
Provider Enumeration Date
07/05/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E5569 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
3974 Springfield Rd
City
Glen Allen
State
Virginia
Zip
23060-4119
Phone Number
804-273-1717
Fax Number
804-273-1834
person
Provider Business Mailing Address Details
Address
3974 Springfield Rd
City
Glen Allen
State
Virginia
Zip
23060-4119
Phone Number
804-273-1717
Fax Number
804-273-1834
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
SC006766 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
E5569 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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