Individual
BREANNA NICOLE NOLAN SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
116 MATTHEW DR UNIT 100, UNIONTOWN, PA 15401-8418
(724) 439-4479
Mailing address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(304) 598-4835
(304) 285-7388
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD474522
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2018
Last updated
09/03/2024
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