Search › Idaho › 363A00000X
Shannon Burke, PA-C
NPI 1043943442 · on the registry since 2022
Practice
- Address
- 1072 N Liberty St Ste 201
Boise, ID 83704 - Phone
- (208) 302-2400
- Fax
- (208) 302-2455
- Organisation at this address
- Bryan J Anderson Md Pc
Shauna T Williams Md Pa
Treasure Valley Colon & Rectal Clinic PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 81
Additional practice sites
- 921 S 8th Ave Stop 8253, Pocatello, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-26
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