Individual provider · Type 1 NPI
Diane Shepherd, REGISTERED NURSE
Community Health Registered Nurse · Cass Lake, MN
NPI number
1659646958
Active
Practice location
115 Sixth St. NW, Suite E
Cass Lake, MN 56601-3061
Fax (218) 335-4578
Mailing address
115 6th St. NW, Suite E
Cass Lake, MN 56633-3061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | R-158091-4 (MN) |
| Maternal Newborn Registered Nurse | 163WM0102X | R-158091-4 (MN) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R-158091-4 (MN) |
Community Health Registered Nurse: Definition to come...
Other community health registered nurse providers in Cass Lake
About NPI 1659646958
Diane Shepherd, REGISTERED NURSE's National Provider Identifier is 1659646958, issued on Mar 20, 2012. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Cass Lake, MN. The record was last updated on Mar 20, 2012.