Individual
ANTHONY TRAYVON SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6060 SILVER LAKE RD APT 13G, RENO, NV 89506-1782
(775) 303-6446
Mailing address
6060 SILVER LAKE RD APT 13G, RENO, NV 89506-1782
(775) 303-6446
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
0806091399
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0806091399
—
NV
Enumeration date
02/06/2023
Last updated
02/06/2023
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