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MRS. COLLEEN M 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)

Contact & Hours

Address
300 E BANNOCK ST
BOISE, ID 83712

Quick Facts

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

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