Individual provider · Type 1 NPI

Shandra Dee Averett, FNP-C

Family Nurse Practitioner · Blackfoot, ID

NPI number 1720580848 Active

Practice location

98 Poplar St
Blackfoot, ID 83221-1758

Mailing address

357 W 170 N
Blackfoot, ID 83221-5614

Specialties and licenses

TaxonomyCodeLicense
Advanced Practice Midwife 367A00000XNone listed
Family Nurse Practitioner Primary 363LF0000X58040 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1720580848

Shandra Dee Averett, FNP-C's National Provider Identifier is 1720580848, issued on Mar 5, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Blackfoot, ID. The record was last updated on Jul 23, 2021.