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Individual

DANA MARIE SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN00145561
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30006273
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194SM
REGENCE
WA
01
2914SM
REGENCE
WA
05
7057375
WA
05
7122617
WA
05
7131709
WA
05
7131717
WA
01
9116SM
REGENCE
WA
05
9636994
WA
Enumeration date
03/28/2007
Last updated
04/14/2010
Update your record

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