Doctor Name: | LAURA SHEPANSKI |
NPI Number: | 1023341799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 5004473 |
Business Practice Address: | 3940 Arrowhead Blvd Suite 150 Mebane, NC - 273027636 |
Business Phone Number: | 9195631160 |
Business Fax Number: | 9195631163 |
Mailing Address: | 3940 Arrowhead Blvd, Suite 150 MEBANE |
State: | NC |
Postal Code: | 273027636 |
Phone Number: | 9195631160 |
Fax Number: | 9195631163 |
NPI Enumeration Date: | 09/14/2009 |
NPI Last Update Date: | 09/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 5004473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |