Individual provider · Type 1 NPI
Robert Paul Shanks, FNP
Acute Care Nurse Practitioner · Caldwell, ID
NPI number
1861029159
Active
Practice location
315 E Elm St Ste 100
Caldwell, ID 83605-4858
Fax (208) 302-7192
Mailing address
PO Box 190930
Boise, ID 83719-0930
Other practice locations
- 900 Sunset Dr, La Grande, OR 97850-1387 · (541) 963-8421
- 215 E Hawaii Ave, Nampa, ID 83686-6011 · (208) 463-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 202000267NP-PP (OR) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | NP-75863 (ID) |
Acute Care Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1861029159
Robert Paul Shanks, FNP's National Provider Identifier is 1861029159, issued on Mar 25, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Caldwell, ID. The record was last updated on Feb 29, 2024.