Individual provider · Type 1 NPI
Shelby Renee Brunson
Family Nurse Practitioner · Rexburg, ID
NPI number
1861296485
Active
Practice location
1750 Clements Ln
Rexburg, ID 83440-5352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5071472 (ID) |
| Student in an Organized Health Care Education/Training Program | 390200000X | RN60557241 (WA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 76133 (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1861296485
Shelby Renee Brunson's National Provider Identifier is 1861296485, issued on Apr 2, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rexburg, ID. The record was last updated on Mar 30, 2026.