Individual provider · Type 1 NPI

Brett Shepard

Critical Care Medicine Registered Nurse · Bloomsburg, PA

NPI number 1063359446 Active

Practice location

633 Grovania Dr
Bloomsburg, PA 17815-9609

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200XRN724616 (PA)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1063359446

Brett Shepard's National Provider Identifier is 1063359446, issued on May 2, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Bloomsburg, PA. The record was last updated on May 2, 2026.