Individual
DANIELLE SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5700 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4152
(440) 204-7400
Mailing address
160 WOODHILL DR, AMHERST, OH 44001-1614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN. 34448-1
OH
363LF0000X
Family Nurse Practitioner
Primary
COA. 17172
OH
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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