Individual
MICHELLE SHAUGHNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNTP, BCHN, RWS
Contact information
Practice address
13450 MERLOT PL, CALDWELL, ID 83607-9500
(703) 801-1774
Mailing address
13450 MERLOT PL, CALDWELL, ID 83607-9500
(703) 801-1774
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
ID
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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