Individual provider · Type 1 NPI

Shelly Crane, AGNP-C

Primary Care Nurse Practitioner · Coeur D Alene, ID

NPI number 1104465558 Active

Practice location

915 W Emma Ave
Coeur D Alene, ID 83814-2531

Call (208) 791-3391 Map

Mailing address

2900 N Government Way # 294
Coeur D Alene, ID 83815-3751

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X39760 (ID)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1104465558

Shelly Crane, AGNP-C's National Provider Identifier is 1104465558, issued on Jan 2, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jan 2, 2020.