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Shauna Rankin
Family Nurse Practitioner in Wilder, Idaho
NPI 1740928837

Shauna Rankin is a Family Nurse Practitioner based in Wilder, ID and is specialized in Family. Shauna Rankin practices in Wilder, ID. The NPI Number for Shauna Rankin is 1740928837 and holds a License No. 72982 (Idaho).

The current practice location address for Shauna Rankin is 27591 Petolla Rd, Wilder, ID and can be reached out via phone at 208-375-8427.

Location: 27591 Petolla Rd, Wilder, ID, 83676-5740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740928837
Provider Name
Shauna Rankin
Credential
Provider Entity Type
Individual
Gender
Female
Address
27591 Petolla Rd, Wilder, ID, 83676-5740
Phone Number
208-375-8427
Fax Number
Provider Enumeration Date
05/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27591 Petolla Rd
City
Wilder
State
Idaho
Zip
83676-5740
Phone Number
208-375-8427
Fax Number
person
Provider Business Mailing Address Details
Address
27591 Petolla Rd
City
Wilder
State
Idaho
Zip
83676-5740
Phone Number
208-375-8427
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
72982 (Idaho)
Definition
Definition to come...
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