person
Linda G Shaw, FNP
Family Nurse Practitioner in Mountain Home, Idaho
NPI 1669561049

Linda G Shaw is a Family Nurse Practitioner based in Mountain Home, ID and is specialized in Family. Linda G Shaw practices in Mountain Home, ID and has the professional credentials of FNP. The NPI Number for Linda G Shaw is 1669561049 and holds a License No. NP382A (Idaho).

The current practice location address for Linda G Shaw is 805 N 6Th E, Mountain Home, ID and can be reached out via phone at 208-587-5880 and via fax at 208-587-7905. You can also correspond with Linda G Shaw through the mailing address at 805 N 6TH E, MOUNTAIN HOME, ID - 83647-2207 (mailing address contact number: 208-587-5880).

Location: 805 N 6Th E, Mountain Home, ID, 83647-2207
person
Provider Profile Details
NPI Number
1669561049
Provider Name
Linda G Shaw
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
805 N 6Th E, Mountain Home, ID, 83647-2207
Phone Number
208-587-5880
Fax Number
208-587-7905
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010017467 01 ID REGENCE BLUE SHIELD
NPGP8 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
805 N 6Th E
City
State
Zip
83647-2207
Phone Number
208-587-5880
Fax Number
208-587-7905
person
Provider Business Mailing Address Details
Address
805 N 6Th E
City
State
Zip
83647-2207
Phone Number
208-587-5880
Fax Number
208-587-7905
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP382A (Idaho)
Definition
Definition to come...
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