Provider Demographics
NPI:1659669547
Name:SHEPARD, ABIGALE BARBARA
Entity Type:Individual
Prefix:MS
First Name:ABIGALE
Middle Name:BARBARA
Last Name:SHEPARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8270 W FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-8260
Mailing Address - Country:US
Mailing Address - Phone:303-903-6067
Mailing Address - Fax:
Practice Address - Street 1:1530 W 13TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2402
Practice Address - Country:US
Practice Address - Phone:303-302-3294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator