Individual
MRS. ELIZABETH DALE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 HOSPITAL DRIVE, LUVERNE, AL 36049-7344
(334) 335-3374
(334) 335-1119
Mailing address
5303 VAUGHN ROAD, MONTGOMERY, AL 36116-1120
(334) 386-0343
(334) 386-0382
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
023063
AL
Other
Enumeration date
01/26/2007
Last updated
05/26/2011
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