Shepheard, Bonnie

Shepheard, Bonnie is an individual health care provider with primary practice located at 13195 Metro Pkwy Units 6-9, Fort Myers FL 33966-4810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Shepheard, Bonnie can be contacted via phone (239) 344-2348.

Contact Information

Primary practice address
13195 Metro Pkwy Units 6-9 Fort Myers FL 33966-4810
Phone: (239) 344-2348
Fax: (239) 479-5194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN1020612 Florida

Profile Details

NPI number 1417945890
LBN Legal business name Shepheard, Bonnie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Sep 28th, 2020 - about 5 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 1417945890 NPPES
Florida MEDICAID 034932100

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