Angel J Shepherd
Angel J Shepherd is a Licensed Practical Nurse in Watertown, New York. Licensed in New York. Registered with an NPI since 2025.
- Licensed in
- NY
- In the registry since
- 2025
Practice location Address checks out
650 State StWatertown, NY 13601-2839
Phone: (315) 755-1251
Fax: (315) 291-6601
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Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 353253 (NY) |
|---|
Record details
| NPI number | 1073402335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 1, 2025 |
| Last updated in NPPES | July 1, 2025 |
| Certification date | July 1, 2025 |
| Mailing address | 324 County Route 51 Bldg 1, Malone, NY 12953-4502 |
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