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Search › Idaho › 363LF0000X

Shayna Mickelsen

NPI 1639024888 · on the registry since 2026

Practice

Address
530 S Holmes Ave
Idaho Falls, ID 83401
Phone
(208) 529-2352
Organisation at this address
Eye Clinic Of Idaho Falls,Pa
Open Space Mental Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-03

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