Individual
MRS. SHAUNA A SPELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1220 E POLSTON AVE, POST FALLS, ID 83854
(208) 273-1577
(208) 773-8585
Mailing address
1220 E POLSTON AVE, POST FALLS, ID 83854
(208) 273-1577
(208) 773-8585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NP428A
ID
363L00000X
Nurse Practitioner
NP428A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805528300
—
ID
Enumeration date
07/12/2005
Last updated
07/05/2023
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