Individual
CLARICIA SIMMONS SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1799 MOUNT MARIAH DR, LAS VEGAS, NV 89106-1501
(702) 383-1961
(702) 319-6147
Mailing address
3325 RESEARCH WAY, CARSON CITY, NV 89706-7913
(702) 383-1961
(702) 319-6147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A78787
CA
208000000X
Pediatrics Physician
10349
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018793
—
NV
05
—
003102793
—
NV
05
—
1518930098
—
NV
Enumeration date
02/07/2006
Last updated
01/06/2025
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