Shepard, Anthony Trayvon

Shepard, Anthony Trayvon is an individual health care provider with primary practice located at 6060 Silver Lake Rd Apt 13G , Reno NV 89506-1782. He recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as his primary health care specialty. Shepard, Anthony Trayvon can be contacted via phone (775) 303-6446.

Contact Information

Primary practice address
6060 Silver Lake Rd Apt 13G Reno NV 89506-1782
Phone: (775) 303-6446
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 0806091399 Nevada

Profile Details

NPI number 1336845908
LBN Legal business name Shepard, Anthony Trayvon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2023
Last updated Feb 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336845908 NPPES
Nevada MEDICAID 0806091399

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