person
Ms. Shirley Edna Vanzandt, CRNP
Adult Health Nurse Practitioner in Meridian, Idaho
NPI 1700076312

Shirley Edna Vanzandt is an Adult Health Nurse Practitioner based in Meridian, ID and is specialized in Adult Health. Shirley Edna Vanzandt practices in Meridian, ID and has the professional credentials of CRNP. The NPI Number for Shirley Edna Vanzandt is 1700076312 and holds a License No. R090943 (Idaho).

The current practice location address for Shirley Edna Vanzandt is 3025 W Cherry Lane, Meridian, ID and can be reached out via phone at 208-302-6400 and via fax at 208-302-6455.

Location: 3025 W Cherry Lane, Meridian, ID, 83642-1026
person
Provider Profile Details
NPI Number
1700076312
Provider Name
Shirley Edna Vanzandt
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
3025 W Cherry Lane, Meridian, ID, 83642-1026
Phone Number
208-302-6400
Fax Number
208-302-6455
Provider Enumeration Date
07/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3025 W Cherry Lane
City
State
Zip
83642-8531
Phone Number
208-302-6400
Fax Number
208-302-6455
person
Provider Business Mailing Address Details
Address
3025 W Cherry Lane
City
State
Zip
83642-8531
Phone Number
208-302-6400
Fax Number
208-302-6455
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R090943 (Maryland)
Definition
Definition to come...
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