Individual
SHAYLYNN SHERRICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2303 PARK AVE, BURLEY, ID 83318-2106
(208) 677-3073
Mailing address
1624 GINGKO ST, RUPERT, ID 83350-1131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79295
ID
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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