Individual
MRS. AMY SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2306 6TH AVE, FORT WORTH, TX 76110-2510
(817) 924-4748
Mailing address
2306 6TH AVE, FORT WORTH, TX 76110-2510
(817) 924-4748
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
637921
TX
Other
Enumeration date
02/23/2006
Last updated
01/14/2008
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