Individual
CARLA SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, RN
Contact information
Practice address
1730 PROSPECT AVE STE 100, KANSAS CITY, MO 64127-2573
(816) 946-8667
Mailing address
13745 MOHAWK RD APT 1110, LEAWOOD, KS 66224-4672
(717) 440-0588
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2017042704
MO
363LA2200X
Adult Health Nurse Practitioner
53-77990-072
KS
363LG0600X
Gerontology Nurse Practitioner
2017042704
MO
363LG0600X
Gerontology Nurse Practitioner
53-77990-072
KS
363LP2300X
Primary Care Nurse Practitioner
2017042704
MO
Other
Enumeration date
01/02/2018
Last updated
07/25/2024
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