Reynolds, Shawna Marie

Reynolds, Shawna Marie is an individual health care provider with primary practice located at 1441 Parkway Dr , Blackfoot ID 83221-0000. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Reynolds, Shawna Marie can be contacted via phone (208) 785-2600.

Contact Information

Primary practice address
1441 Parkway Dr Blackfoot ID 83221-0000
Phone: (208) 785-2600
Fax: (208) 785-1762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-778 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA778 Idaho

Profile Details

NPI number 1023260783
LBN Legal business name Reynolds, Shawna Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2008
Last updated Apr 23rd, 2012 - about 13 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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