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Individual

WANDA L SHEPPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
6893 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1640
(702) 338-2954
(510) 842-3543
Mailing address
6893 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1640
(702) 338-2954
(510) 842-3543

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN000702
NV

Other

Enumeration date
10/04/2006
Last updated
11/27/2015
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