National Provider Identifier
Mary T Sheppard, PNP
Mary T Sheppard, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 323-0110.
Profile Overview
- NPI
- 1417913096
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- April 24, 2006
- Last Updated
- May 16, 2023
Practice Location
- 1001 Main St Fl 4
- Buffalo, NY 14203-1009
Phone: (716) 323-0110
Mailing Address
- 1001 Main St Fl 5
- Buffalo, NY 14203-1009
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1417913096
- Entity Type
- Individual
- Last Name
- Sheppard
- First Name
- Mary
- Middle Name
- T
- Credential
- PNP
- Mailing Street Address
- 1001 Main St Fl 5
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1009
- Mailing Country
- US
- Mailing Phone
- (716) 323-0110
- Mailing Fax
- (716) 332-0296
- Practice Street Address
- 1001 Main St Fl 4
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1009
- Practice Country
- US
- Practice Phone
- (716) 323-0110
- Practice Fax
- (716) 323-0296
- Enumeration Date
- April 24, 2006
- Last Updated
- May 16, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 16, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)
- Other Identifiers
- 02344723 (NY), 071112000039 (Fidelis), 080407000110 (Fidelis)