Search › Idaho › 363LF0000X
Shelby Brunson
NPI 1861296485 · on the registry since 2025
Practice
- Address
- 1750 Clements Ln
Rexburg, ID 83440 - Phone
- (509) 531-2548
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 390200000X
390200000X - Licence states on file
- ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-30
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