Individual
TIFFANY SANDRA SHEPERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, RN
Contact information
Practice address
4600 W SCHROEDER DR, BROWN DEER, WI 53223-1469
(414) 865-2500
Mailing address
5334 SIX MILE RD, BELGIUM, WI 53004-9747
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
192836
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8112
WI
Other
Enumeration date
09/08/2017
Last updated
01/03/2018
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