Individual provider · Type 1 NPI

Shaunna Shortes, FNP C

Family Nurse Practitioner · Blackfoot, ID

NPI number 1699760090 Active

Practice location

98 Poplar St
Blackfoot, ID 83221-1758

Mailing address

1054 W 50 S
Blackfoot, ID 83221-6088

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X14920 (CA)
Endocrinology, Diabetes & Metabolism Physician 207RE0101X14920 (CA)
Family Nurse Practitioner 363LF0000X70218 (ID)
Primary Care Nurse Practitioner 363LP2300X14920 (CA)
Family Nurse Practitioner Primary 363LF0000X14920 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1699760090

Shaunna Shortes, FNP C's National Provider Identifier is 1699760090, issued on Sep 13, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Blackfoot, ID. The record was last updated on Feb 2, 2023.