NPI 1043868516
Sean Shepherd
Practice location
- Address
- 1101 Center St, Evanston, WY 82930-3383
- Phone
- (307) 789-0241
- Fax
- (307) 460-7222
- Mailing address
- PO Box 1011, Evanston, WY 82931-1011
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1043868516
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Aug 2019
- Record last updated
- 28 Aug 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.