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Contact Information

SHAUNNA SHORTES, FNP C
98 POPLAR ST
BLACKFOOT, ID83221-1758
 Phone: 559-289-1063
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHAUNNA SHORTES · (Female)

NPI # 1699760090
Status Active
Credentials FNP C
Entity Individual
Enumeration date 09/13/2005
Last updated 02/02/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 14920
  • ID License # 70218
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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