Individual
MICHELLE L SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(910) 755-8121
(910) 721-1359
Mailing address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(910) 755-8121
(910) 721-1359
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1762
NC
367500000X
Certified Registered Nurse Anesthetist
77503
NC
367500000X
Certified Registered Nurse Anesthetist
APN3273
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1593
—
SC
Enumeration date
06/18/2007
Last updated
09/02/2025
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