GLENDA MCGOWEN SHEPARD ARNP NPI 1528337995

NPI Information

NPI: 1528337995
Provider Name: GLENDA MCGOWEN SHEPARD, ARNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA
ZIP 98466
Phone: (253) 534-7000
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Glenda Mcgowen Shepard, ARNP is an adult health nurse practitioner in University Place, WA with 13 years of experience. Glenda Mcgowen Shepard, ARNP NPI is 1528337995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2901 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA
ZIP 98466-614
Phone: (253) 534-7000
Fax: (253) 534-7099

The NPI 1528337995 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/14/2011 and was last updated on 3/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	AP60243389	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0289071	OTHER	WASHINGTON	STATE L&I
2	G8906217	MEDICARE PIN	WASHINGTON
3	0289073	OTHER	WASHINGTON	STATE L&I

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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