SearchNew YorkLicensed Practical Nurse

Angel Shepherd

NPI 1073402335 · on the registry since 2025

Practice

Address
650 State St
Watertown, NY 13601
Phone
(315) 755-1251
Fax
(315) 291-6601
Clinicians at this address
99

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York