SearchIdaho363LA2200X

Shirley Vanzandt, CRNP

NPI 1700076312 · on the registry since 2007

Practice

Address
3025 W Cherry Lane
Ste B
Meridian, ID 83642
Phone
(208) 302-6400
Fax
(208) 302-6455
Clinicians at this address
16

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
363LA2200X
Licence states on file
MD, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-11-10

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