SHANDRA DEE AVERETT FNP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1720580848- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP-C
- Status
- Active
Contact & Location
- Address
- 98 POPLAR ST, BLACKFOOT, ID, 832211758
- Phone
- (208) 785-4100
Specialties & Taxonomies
Advanced Practice Midwife
Nurse Practitioner, Family
Primary License: ID #58040
All Addresses
MAILING
357 W 170 N
BLACKFOOT, ID, 832215614