Individual
ELISABETH SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD,, PA-C
Contact information
Practice address
500 W FORT ST. CRH 2ND FLOOR, BOISE, ID 83702-4501
(208) 422-1018
Mailing address
500 W FORT ST. CRH 2ND FLOOR, BOISE, ID 83702-4501
(208) 422-1018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06617
TX
363AM0700X
Medical Physician Assistant
PA06617
TX
Other
Enumeration date
08/16/2011
Last updated
05/23/2024
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