SearchIdaho363L00000X

Shawna Thomas

NPI 1871197533 · on the registry since 2020

Practice

Address
1888 N Eagle Creek Way
Eagle, ID 83616
Phone
(208) 863-9259

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-24

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