Shepard, Lisa

Shepard, Lisa is an sole proprietor health care provider with primary practice located at 609 S Clearview Ave , Mesa AZ 85208-1922. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Shepard, Lisa can be contacted via phone (480) 201-6754.

Contact Information

Primary practice address
609 S Clearview Ave Mesa AZ 85208-1922
Phone: (480) 201-6754
Fax: (480) 396-5130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN046743 Arizona

Profile Details

NPI number 1427134212
LBN Legal business name Shepard, Lisa
Credentials Certified Registered Nurse, First Assistant (CRNFA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Jan 20th, 2016 - about 10 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 1427134212 NPPES
Other 124186 HEALTHNET
Other 2224040 HEALTHNET

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