Individual
SHELLY CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
915 W EMMA AVE, COEUR D ALENE, ID 83814-2531
(208) 791-3391
Mailing address
2900 N GOVERNMENT WAY # 294, COEUR D ALENE, ID 83815-3751
(208) 791-3391
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
39760
ID
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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