Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | APRN.CNP.024188 | OH |
NPI | 1083286348 |
---|---|
Provider Name | Amanda Shepler |
First Address | Zanesville, OH 43701-2836 |
Second Address | Coshocton, OH 43812-2044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2021 |
Last Update Date | 15/07/2021 |