Shawna Thomas Valid NPI

Individual provider · Nurse Practitioner · Eagle, ID

NPI

1871197533

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

66420 (ID)

Sex

Female

Sole proprietor

No

Enumerated

2020-11-24

Last updated

2020-11-24