SearchIdaho363AM0700X

A Teresa Gabiola Shelton, PA

NPI 1134401326 · on the registry since 2011 · sole proprietor

Practice

Address
6051 W Emerald St
Boise, ID 83704
Phone
(208) 302-5150
Fax
(208) 302-5155
Clinicians at this address
58

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363AM0700X
Licence states on file
UT, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-30

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