Individual
MS. ROBERTA LEE SHEPARD-MARDOCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4041 S MCCLINTOCK DR, TEMPE, AZ 85282-5879
(520) 233-7111
Mailing address
2122 N CRAYCROFT RD, #112, TUCSON, AZ 85712-2849
(520) 791-0100
(520) 791-0101
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN036763
AZ
Other
Enumeration date
08/18/2006
Last updated
07/07/2021
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