Provider Demographics
NPI:1023341799
Name:SHEPANSKI, LAURA (ANP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SHEPANSKI
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 ARROWHEAD BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-7636
Mailing Address - Country:US
Mailing Address - Phone:919-563-1160
Mailing Address - Fax:919-563-1163
Practice Address - Street 1:3940 ARROWHEAD BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-7636
Practice Address - Country:US
Practice Address - Phone:919-563-1160
Practice Address - Fax:919-563-1163
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004473363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health