Deborah Ann Shepherd, RN

Individual provider Active NPI Foster Care Agency · Secane, PA

NPI 1780195016 · NPPES record last updated Oct 13, 2017

Key facts

NPI
1780195016
Entity type
Individual (NPI type 1)
Primary specialty
Foster Care Agency 253J00000X
License
RN304440L (PA)
Practice address
817 Green LN
Secane, PA 19018-3602
Phone
(610) 931-7053
Fax
(610) 931-7053
NPI assigned
Oct 13, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN304440LPAMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN304440L PA
Registered Nurse 163W00000X RN304440L PA
Nursing Care Agency 251J00000X RN304440L PA
Foster Care Agency 253J00000X RN304440L PA Yes

Addresses

Primary practice location

817 Green LN
Secane, PA 19018-3602

Mailing address

817 Green LN
Secane, PA 19018-3602
Phone (610) 931-7053

Other names

  • Deborah Ann Weber Former name

Other providers in Secane, PA

All providers in Secane, PA · Foster Care Agency in Pennsylvania

Sources for this page

Verify at the official NPI Registry.