Individual
MR. CHAD A SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1149 LINCOLN AVE, LOCKPORT, NY 14094-6152
(716) 433-2674
(716) 433-2677
Mailing address
1149 LINCOLN AVE, LOCKPORT, NY 14094-6152
(716) 433-2674
(716) 433-2677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
335055
NY
Other
Enumeration date
03/13/2007
Last updated
05/13/2024
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