SearchIdaho171400000X

Michelle Shaughnessy, FNTP, BCHN, RWS

NPI 1396492153 · on the registry since 2022 · sole proprietor

Practice

Address
13450 Merlot Pl
Caldwell, ID 83607
Phone
(703) 801-1774

Registry record

Primary taxonomy
171400000X
171400000X
Also registered as
171400000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-03-02

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