Stamper, Shannon Leiambre

Stamper, Shannon Leiambre is an individual health care provider with primary practice located at 610 W Hays St , Boise ID 83702. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Stamper, Shannon Leiambre can be contacted via phone (208) 381-7092.

Contact Information

Primary practice address
610 W Hays St Boise ID 83702
Phone: (208) 381-7092
Fax: (208) 381-7071
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D-874 Idaho
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X D-874 Idaho

Profile Details

NPI number 1659754810
LBN Legal business name Stamper, Shannon Leiambre
Credentials RD, CSP, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2015
Last updated Jul 25th, 2019 - about 5 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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