Most Relevant Information
Provider Data
| NPI Number: | 1003671876 |
| Provider Name: | LATASHA SHEPHERD RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 768074 |
Most Important Dates
| Enumeration Date: | 02/20/2024 |
| Last Updated: | 02/20/2024 |
Provider Practice Location
525 E 68TH ST
NEW YORK
NY
100654870
Practice Location Phone/Fax
| Phone: | 3476857738 |
| Fax: |
Provider Mailing Location
159 E 46TH ST
BROOKLYN
NY
112031814
Provider Mailing Phone/Fax
| Phone: | 3476857738 |
| Fax: |