Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Randy Vern Shepherd, RN

Individual provider Ambulatory Care Registered Nurse · NPI 1790852499

Mr. Randy Vern Shepherd, RN is an Ambulatory Care Registered Nurse in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1511
Fax: (602) 263-1619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence RN094841 (AZ)

Record details

NPI number1790852499
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 8, 2007

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