Shelby Johnson
NPI #1134098940 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1134098940
- Entity Type
- Individual
- Name
- Shelby Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Oct 30, 2025
- Last Updated
- Oct 30, 2025
Practice Location
- Address
- 2265 W BROADWAY ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-2996
- Phone
- (208) 524-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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