Individual provider · Type 1 NPI

Sophia Rennee Shard

Nurse Practitioner · New York, NY

NPI number 1689565681 Active

Practice location

489 5th Ave Fl 3
New York, NY 10017-6145

Call (888) 663-6331 Map

Fax (415) 272-7176

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice locations

6720 Via Austi Pkwy Ste 250, Las Vegas, NV 89119-3568 · (917) 213-3770

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	358288 (NY)
Family Nurse Practitioner	363LF0000X	869104 (NV)
Primary Care Nurse Practitioner	363LP2300X	869104 (NV)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1689565681

Sophia Rennee Shard's National Provider Identifier is 1689565681, issued on Jul 9, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on Apr 10, 2026.