Individual
ANITA SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2400 PINE AVE, NIAGARA FALLS, NY 14301-2402
(716) 505-1060
Mailing address
55 DODGE RD, GETZVILLE, NY 14068-1205
(716) 831-2700
(716) 831-1818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
466270
NY
Other
Enumeration date
05/12/2014
Last updated
04/13/2023
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