Individual
MS. YELENA SHUEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6533 EMERALD STREET, BOISE, ID 83704-8737
(208) 367-4170
(208) 367-8135
Mailing address
3340 EAST GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-400
ID
363A00000X
Physician Assistant
PA00860
OR
363A00000X
Physician Assistant
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807884901
—
ID
05
—
8078874900
—
ID
Enumeration date
08/02/2005
Last updated
07/14/2011
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