Shepard, Beverly

Shepard, Beverly is an individual health care provider with primary practice located at 1571 Washington St Suite 201, Watertown NY 13601-9304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shepard, Beverly can be contacted via phone (315) 782-1650.

Contact Information

Primary practice address
1571 Washington St Suite 201 Watertown NY 13601-9304
Phone: (315) 782-1650
Fax: (315) 788-8547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F330120 New York

Profile Details

NPI number 1831173079
LBN Legal business name Shepard, Beverly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Oct 18th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831173079 NPPES
New York MEDICAID 02284366

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