MS. WENDY CHRISTINE SHEPARD


Address: 1821 Portal St Ste A, Baltimore, MD 21224-6541
Phone: 4106316140

MS. WENDY CHRISTINE SHEPARD (NPI# 1194286757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194286757
Entity Type Individual
Full Name MS. WENDY CHRISTINE SHEPARD
Credential PMHCNS-BC
Practice Address 1821 Portal St Ste A
Baltimore
MD 21224-6541
Practice Telephone 4106316140
Practice Fax Number 4106334210
Mailing Telephone 4106316140
Mailing Fax Number 4106334210
Enumeration Date 2019-03-27
Last Update Date 2019-03-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
R080958 MD Nursing Service Providers

Office Location

Street Address 1821 PORTAL ST STE A
City BALTIMORE
State MD
Zip Code 21224-6541

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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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