Individual
MS. TANYA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(508) 395-1110
Mailing address
13 RAINBOW CIR, PEABODY, MA 01960-5745
(508) 395-1110
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
RN2292866
MA
363LW0102X
Women's Health Nurse Practitioner
RN2292866
MA
Other
Enumeration date
10/19/2022
Last updated
04/02/2026
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