Lookup NPI Numbers from the NPI Registry
NPI Profile for SHANDRA D AVERETT in BLACKFOOT, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Advanced Practice Midwife |
367A00000X | 42 | Certified Nurse Midwife |
| NPI Number | 1720580848 |
|
| Status | Active | |
| Credentials | FNP-C (Family Nurse Practitioner, Certified) | |
| Entity | Individual | |
| Enumeration date | 03/05/2018 | |
| Last updated | 07/23/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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SHANDRA D AVERETT, FNP-C