Dana Marie Shepherd in Centralia - Pediatrics
Dana Marie Shepherd - NPI 1558480749
Dana Marie Shepherd is a Pediatrics in Centralia, Washington. Dana Marie Shepherd practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dana Marie Shepherd is 1558480749. The last update date is 2010-04-14.
Dana Marie Shepherd's current location address is 1911 Cooks Hill Rd, Centralia, Washington. You can contact this provider via phone number 3607366778 and fax number 3607366552. The mailing address for Dana Marie Shepherd is 1911 Cooks Hill Rd, Centralia, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dana Marie Shepherd |
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Address | 1911 Cooks Hill Rd, Centralia, Washington |
Phone Number | 3607366778 |
Fax Number | 3607366552 |
Sole Proprietor | N |
Credentials | ARNP |
NPI Number Detail
NPI Number | 1558480749 |
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Provider Enumeration Date | 2007-03-28 |
Last Updated Date | 2010-04-14 |
Provider Mailing Address Detail
Address | 1911 Cooks Hill Rd |
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City | Centralia |
State | Washington (WA) |
Post Code | 985319073 |
Phone Number | 3607366778 |
Fax Number | 3607366552 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 363Lp0200X |
Licence No | AP30006273 |
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2914SM | WA | REGENCE | |
9636994 | WA | -- | |
1194SM | WA | REGENCE | |
7057375 | WA | -- | |
9116SM | WA | REGENCE | |
7131717 | WA | -- | |
7122617 | WA | -- | |
7131709 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dana Marie Shepherd by the Centers for Medicare & Medicaid Services?
The Dana Marie Shepherd has been assigned the NPI (National Provider Identifier) 1558480749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Dana Marie Shepherd's facilities are situated?
The facilities of Dana Marie Shepherd are physically located at the following address: 1911 Cooks Hill Rd, Centralia, WA, 985319073.
What is Dana Marie Shepherd's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dana Marie Shepherd is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558480749 to Dana Marie Shepherd?
The Centers for Medicare & Medicaid Services originally issued the 1558480749 to Dana Marie Shepherd on 2007-03-28.
When was the information regarding Dana Marie Shepherd most recently updated?
The details pertaining to the Dana Marie Shepherd, including its address, specialty, and other relevant information, were last refreshed on 2010-04-14.