Individual
MS. DEBORAH ELIZABETH SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
VP004079L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008013
BLUE SHIELD
PA
01
—
340594
BLUE CROSS
PA
Enumeration date
12/06/2005
Last updated
12/05/2014
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