Individual
DEBORAH ANN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
817 GREEN LN, SECANE, PA 19018-3602
(610) 931-7053
(610) 931-7053
Mailing address
817 GREEN LN, SECANE, PA 19018-3602
(610) 931-7053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN304440L
PA
163WH0200X
Home Health Registered Nurse
RN304440L
PA
251J00000X
Nursing Care Agency
RN304440L
PA
253J00000X
Foster Care Agency
Primary
RN304440L
PA
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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