Individual provider · Type 1 NPI
Brenna Mae Shackelford, MD
Hospice and Palliative Medicine (Emergency Medicine) Physician · Meridian, ID
Practice location
520 S Eagle Rd Ste 3102
Meridian, ID 83642-6352
Fax (208) 381-5141
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice locations
- 221 Mahalani St, Wailuku, HI 96793-2526 · (808) 242-2290
- 99 Mdg/sghq, Fl 2, Rm 2576C, Attn: Credentials Office, Nellis Afb, NV 89191-6601 · (702) 653-3067
- 745 W Moana Ln Ste 300, Reno, NV 89509-4980 · (775) 327-5174
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD19340 (HI) |
| Emergency Medicine Physician | 207P00000X | 01067626A (IN) |
| Emergency Medicine Physician | 207P00000X | 23824 (NV) |
| Emergency Medicine Physician | 207P00000X | A133488 (CA) |
| Emergency Medicine Physician | 207P00000X | M15461 (ID) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Hospice and Palliative Medicine (Emergency Medicine) Physician Primary | 207PH0002X | M-15461 (ID) |
Hospice and Palliative Medicine (Emergency Medicine) Physician: An emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying pr…
10 other providers at this address
- Abigail D. Daley, PA-CPhysician Assistant Meridian, ID NPI 1659688174
- Carey Tanabe, PA-CPhysician Assistant Meridian, ID NPI 1992185425
- Justin Michael Woodlief, MDInternal Medicine Physician Meridian, ID NPI 1184062911
- Monica Marie Griffith, PharmDPharmacist Meridian, ID NPI 1649820259
- Nicholas Wren, MDInternal Medicine Physician Meridian, ID NPI 1114629516
- Patricia M. Buersmeyer, MDInternal Medicine Physician Meridian, ID NPI 1104816198
- Sarah E. Serrano, MDInternal Medicine Physician Meridian, ID NPI 1730447350
- Shaye Lewis, MDInternal Medicine Physician Meridian, ID NPI 1649664558
- Tyler T. Birch, DOInternal Medicine Physician Meridian, ID NPI 1003278730
- Wendy Diane Loumeau, PAPhysician Assistant Meridian, ID NPI 1144950270
About NPI 1033377833
Brenna Mae Shackelford, MD's National Provider Identifier is 1033377833, issued on May 28, 2008. The primary taxonomy on file is Hospice and Palliative Medicine (Emergency Medicine) Physician (207PH0002X), and the practice location is in Meridian, ID. The record was last updated on Aug 6, 2024.