| Doctor Name: | MRS. EDITH A SHEPHERD |
| NPI Number: | 1134457682 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN LLC |
| License Number: | 225182-4405 |
| Business Practice Address: | 6923 W Long Ridge Dr Herriman, UT - 840963466 |
| Business Phone Number: | 8016628951 |
| Business Fax Number: | 8015420671 |
| Mailing Address: | 6923 W Long Ridge Dr, HERRIMAN |
| State: | UT |
| Postal Code: | 840963466 |
| Phone Number: | 8016628951 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2009 |
| NPI Last Update Date: | 01/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 225182-4405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |