Individual provider · Type 1 NPI
Briseyda Morales Shephard
Critical Care Pediatric Nurse Practitioner · Chicago, IL
NPI number
1114429446
Active
Practice location
225 E Chicago Ave
Chicago, IL 60611-2991
Mailing address
3147 W Belden Ave
Chicago, IL 60647-2805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 209.017289 (IL) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1114429446
Briseyda Morales Shephard's National Provider Identifier is 1114429446, issued on Mar 2, 2018. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Chicago, IL. The record was last updated on Mar 2, 2018.