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SHELLIE DEAN GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
520 S EAGLE RD STE 2213, MERIDIAN, ID 83642-6354
(208) 706-5447
(208) 706-5448
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
NP95011932
CA
363LX0106X
Occupational Health Nurse Practitioner
Primary
2271947
ID

Other

Enumeration date
09/05/2019
Last updated
07/08/2025
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