National Provider Identifier
Damirae R Shepard, RN
Damirae R Shepard, RN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Wayland, NY and a listed phone number of (585) 534-9789.
Profile Overview
- NPI
- 1619139805
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 28, 2008
- Last Updated
- November 24, 2021
Practice Location
- 3788 County Route 36
- Wayland, NY 14572-9426
Phone: (585) 534-9789
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1619139805
- Entity Type
- Individual
- Last Name
- Shepard
- First Name
- Damirae
- Middle Name
- R
- Name Prefix
- Mrs.
- Credential
- RN
- Provider Other Last Name
- Hall
- Provider Other First Name
- Damirae
- Provider Other Middle Name
- R
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3788 County Route 36
- Mailing City
- Wayland
- Mailing State
- NY
- Mailing ZIP Code
- 14572-9426
- Mailing Country
- US
- Mailing Phone
- (607) 281-7153
- Practice Street Address
- 3788 County Route 36
- Practice City
- Wayland
- Practice State
- NY
- Practice ZIP Code
- 14572-9426
- Practice Country
- US
- Practice Phone
- (585) 534-9789
- Enumeration Date
- June 28, 2008
- Last Updated
- November 24, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 24, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)