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Individual

BRETT SHEPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
633 GROVANIA DR, BLOOMSBURG, PA 17815-9609
(570) 259-4535
Mailing address
633 GROVANIA DR, BLOOMSBURG, PA 17815-9609

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN724616
PA

Other

Enumeration date
05/02/2026
Last updated
05/02/2026
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