Randy Vern Shepherd in Pasadena - Ambulatory Care

Randy Vern Shepherd - NPI 1790852499

Randy Vern Shepherd is a Ambulatory Care in Pasadena, California. Randy Vern Shepherd practices all healthcare services and medical treatments related to Ambulatory Care. The NPI Number for Randy Vern Shepherd is 1790852499. The last update date is 2007-07-08.

Randy Vern Shepherd's current location address is Po Box 31001-0698, Pasadena, California. You can contact this provider via phone number 6022631511 and fax number 6022631619. The mailing address for Randy Vern Shepherd is Po Box 31001-0698, Pasadena, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy Vern Shepherd
Address Po Box 31001-0698, Pasadena, California
Phone Number 6022631511
Fax Number 6022631619
Sole Proprietor N
Credentials R.N.

NPI Number Detail

NPI Number 1790852499
Provider Enumeration Date 2006-11-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 31001-0698
City Pasadena
State California (CA)
Post Code 911100698
Phone Number 6022631511
Fax Number 6022631619

Provider's Primary Taxonomy Detail

Speciality Ambulatory Care
Taxonomy 163Wp2201X
Licence No RN094841
Definition:
A registered nurse who provides care in outpatient settings.

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FAQs about Randy Vern Shepherd

What is the Randy Vern Shepherd's unique identification number?

The Randy Vern Shepherd has been assigned the NPI (National Provider Identifier) Number 1790852499 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Randy Vern Shepherd is located?

The Randy Vern Shepherd is situated at the following address: Po Box 31001-0698, Pasadena, CA, 911100698.

What is the Randy Vern Shepherd's specialty and taxonomy code?

The Randy Vern Shepherd's specialty is Ambulatory Care, and the corresponding taxonomy code is 163Wp2201X.

On what date did the Centers for Medicare & Medicaid Services issue the 1790852499 to Randy Vern Shepherd?

The Randy Vern Shepherd received its 1790852499 assignment from the Centers for Medicare & Medicaid Services on 2006-11-29.

As of what date was the information regarding Randy Vern Shepherd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Randy Vern Shepherd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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