Ellefson, Shauna L
Ellefson, Shauna L is an individual health care provider with primary practice located at 1620 S Celebration Ave Ste 400, Meridian ID 83642-2779. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ellefson, Shauna L can be contacted via phone (208) 884-1030.Contact Information
Primary practice address
1620 S Celebration Ave Ste 400
Meridian ID 83642-2779
Phone: (208) 884-1030
Fax: (208) 884-3058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP-1089A | Idaho |
Profile Details
| NPI number | 1588943435 |
|---|---|
| LBN Legal business name | Ellefson, Shauna L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2011 |
| Last updated | Dec 29th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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