Shepard-Mardocco, Roberta Lee
Shepard-Mardocco, Roberta Lee is an sole proprietor health care provider with primary practice located at 4041 S Mcclintock Dr , Tempe AZ 85282-5879. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Shepard-Mardocco, Roberta Lee can be contacted via phone (520) 233-7111.Contact Information
Primary practice address
4041 S Mcclintock Dr
Tempe AZ 85282-5879
Phone: (520) 233-7111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN036763 | Arizona |
Profile Details
| NPI number | 1225142417 |
|---|---|
| LBN Legal business name | Shepard-Mardocco, Roberta Lee |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 7th, 2021 - about 4 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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