Individual
ROSALIE CACANINDIN SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNAP
Contact information
Practice address
3000 COLISEUM DR, HAMPTON, VA 23666-5963
(757) 736-3325
Mailing address
1817 CORAL BAY CT, VIRGINIA BEACH, VA 23455-2879
(757) 581-1072
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0024164751
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164751
VA
Other
Enumeration date
07/21/2005
Last updated
05/23/2023
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