Shawna Thomas

NPI #1871197533 in Eagle, Idaho

Provider Information

NPI Number
1871197533
Entity Type
Individual
Name
Shawna Thomas
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Nov 24, 2020
Last Updated
Nov 24, 2020

Practice Location

Address
1888 N EAGLE CREEK WAY
City
Eagle
State
Idaho
ZIP Code
83616-6604
Phone
(208) 863-9259

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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