Spellman, Shauna A

Spellman, Shauna A is an individual health care provider with primary practice located at 1220 E Polston Ave , Post Falls ID 83854. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Spellman, Shauna A can be contacted via phone (208) 273-1577.

Contact Information

Primary practice address
1220 E Polston Ave Post Falls ID 83854
Phone: (208) 273-1577
Fax: (208) 773-8585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP428A Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X NP428A Idaho

Profile Details

NPI number 1346248507
LBN Legal business name Spellman, Shauna A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 5th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1346248507 NPPES
Idaho MEDICAID 805528300

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