IndividualActive
Brett Shepard
NPI 1063359446 · Critical Care Medicine Registered Nurse · Bloomsburg, PA
Provider details
- NPI number
- 1063359446
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RN724616 (PA)
Specialties & taxonomies
Nursing Service Providers
Practice location
633 Grovania Dr
Bloomsburg, PA 17815-9609
Phone: (570) 259-4535
Approximate (ZIP-level) locationGet directions
Mailing address
633 Grovania Dr
Bloomsburg, PA 17815-9609
Registry dates
- Enumerated
- 2026-05-02
- Last updated
- 2026-05-02
- Certified
- 2026-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.