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Mrs. SHAUNNA SHORTES FNP C

Individual Provider (NPI-1) Active

Nurse Practitioner, Family

Provider Information

NPI Number
1699760090
Provider Type
Individual Provider (NPI-1)
Credentials
FNP C
Status
Active

Contact & Location

Address
98 POPLAR ST, BLACKFOOT, ID, 832211758
Phone
(559) 289-1063

Specialties & Taxonomies

Family Medicine License: CA #14920
Internal Medicine, Endocrinology, Diabetes & Metabolism License: CA #14920
Nurse Practitioner, Family License: ID #70218
Nurse Practitioner, Primary Care License: CA #14920
Nurse Practitioner, Family Primary License: CA #14920

All Addresses

LOCATION

98 POPLAR ST

BLACKFOOT, ID, 832211758

(559) 289-1063

MAILING

1054 W 50 S

BLACKFOOT, ID, 832216088

(559) 289-1063