Dr. BRENNA MAE SHACKELFORD MD
Individual Provider (NPI-1)
Active
Emergency Medicine, Hospice and Palliative Medicine
Provider Information
- NPI Number
1033377833- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 520 S EAGLE RD STE 3102, MERIDIAN, ID, 836426352
- Phone
- (208) 381-1615
- Fax
- (208) 381-5141
Specialties & Taxonomies
Emergency Medicine
License: HI #MD19340
Emergency Medicine
License: IN #01067626A
Emergency Medicine
License: NV #23824
Emergency Medicine
License: CA #A133488
Emergency Medicine
License: ID #M15461
Student in an Organized Health Care Education/Training Program
Emergency Medicine, Hospice and Palliative Medicine
Primary License: ID #M-15461