Individual
SHANNON FINNEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6051 W EMERALD ST, BOISE, ID 83704-8969
(208) 302-5150
(208) 302-5155
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023053
NY
363A00000X
Physician Assistant
PA-2312
ID
Other
Enumeration date
12/20/2018
Last updated
10/06/2022
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