Individual
LEILA N SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3031 WALLACE CIR # NA, HUNTINGTON, WV 25705-1624
(304) 881-8917
Mailing address
900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301-2835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
85147
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487758710
—
WV
Enumeration date
10/27/2022
Last updated
10/27/2022
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