SHELBY RENEE BRUNSON
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1861296485- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1750 CLEMENTS LN, REXBURG, ID, 834405352
- Phone
- (509) 531-2548
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: ID #5071472
Student in an Organized Health Care Education/Training Program
License: WA #RN60557241
Student in an Organized Health Care Education/Training Program
License: ID #76133