Nichole Blair Shumway, DO

NPI #1386263796 in Rupert, Idaho

Provider Information

NPI Number: 1386263796
Entity Type: Individual
Name: Nichole Blair Shumway, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: Apr 15, 2020
Last Updated: Jun 5, 2025

Practice Location

Address: 1308 8TH ST
City: Rupert
State: Idaho
ZIP Code: 83350-1530
Phone: (208) 436-4322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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