Individual
KATHRYN LYNN SHEPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 BRANDON AVE, CHARLOTTESVILLE, VA 22903-3310
(434) 982-3915
Mailing address
143 MIMOSA CT, CHARLOTTESVILLE, VA 22903-2986
(860) 377-1102
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024175201
VA
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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