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ANGELA SHEPHERD
NPI 1790180123
Licensed Practical Nurse in Detroit, MI

Active since October 28, 2014
17219 SAINT AUBIN ST, DETROIT, MI 48212(313) 948-9581 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Shepherd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA SHEPHERD (NPI 1790180123) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703113809) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1790180123
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGELA SHEPHERD
Location Address17219 SAINT AUBIN STDetroit, MI 48212-1581
Mailing Address17219 Saint Aubin StDetroit, MI 48212-1581 · (313) 948-9581
Phone(313) 948-9581
Sole ProprietorYes
Enumeration DateOctober 28, 2014
✔ NPI 1790180123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703113809
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
17219 SAINT AUBIN ST, Detroit, MI 48212
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Shepherd's NPI number?

The NPI number for Angela Shepherd is 1790180123. It was assigned to this individual provider in the NPPES registry on October 28, 2014.

Where is Angela Shepherd located?

Angela Shepherd practices at 17219 Saint Aubin St, Detroit, MI 48212. The listed phone number is (313) 948-9581.

What is Angela Shepherd's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Angela Shepherd was last updated on October 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.