Individual
KRISTINE MADRIA SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-4021
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704311095
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704311095
MI
Other
Enumeration date
04/20/2022
Last updated
03/06/2025
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