Individual
ANDREA CORINNE SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2121
Mailing address
7806 FREMONT WAY, YAKIMA, WA 98908-2088
(509) 823-8391
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
10022549
OR
163WN0002X
Neonatal Intensive Care Registered Nurse
RN60202071
WA
363LN0000X
Neonatal Nurse Practitioner
Primary
6471892
ID
Other
Enumeration date
11/20/2025
Last updated
03/10/2026
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