COLLEEN SHACKELFORD, NP

NP

Family Nurse Practitioner

NPI: 1104107317Individual

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

N-41423(ID)

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

NP-1127A(ID)NP1127A(ID)

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Contact & Hours

Address: 300 E BANNOCK ST
BOISE, ID 83712
Phone: (208) 342-7400

Quick Facts

NPI: 1104107317
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 3
Locations: 1

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