Individual
MRS. SHELBY L.R. STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
435 S EAGLE RD STE 100, EAGLE, ID 83616-6018
(208) 609-9130
(208) 268-8781
Mailing address
14114 ETHAN LN, CHUBBUCK, ID 83202-5363
(208) 240-2363
(208) 646-3903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24289A
ID
Other
Enumeration date
06/08/2012
Last updated
03/10/2026
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