Search › Idaho › 174400000X
Tegan Shuman
NPI 1851834311 · on the registry since 2016
Practice
- Address
- 7307 W San Fernando Dr
Boise, ID 83704 - Phone
- (208) 318-3904
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-30
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