Individual
MARY SUSAN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-RCS
Contact information
Practice address
5255 PINE CREST RD, RHINELANDER, WI 54501-9231
(715) 362-5081
Mailing address
5255 PINE CREST RD, RHINELANDER, WI 54501-9231
(715) 362-5081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
164121030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35071600
—
WI
Enumeration date
10/21/2008
Last updated
10/21/2008
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