SearchIdaho363A00000X

Shawna Reynolds, PA

NPI 1023260783 · on the registry since 2008

Practice

Address
1441 Parkway Dr
Blackfoot, ID 83221
Phone
(208) 785-2600
Fax
(208) 785-1762
Organisation at this address
Mvh Bmc Llc
Mvh Bmc Llc
R & J Pharmacy, Inc
Blackfoot Medical Clinic Rhc
Blackfoot Medical Clinic Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho