Individual
MS. SHAWNA MARIE BEECHINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
161 E MALLARD DR, SUITE 130, BOISE, ID 83706-5015
(208) 991-5207
(208) 639-6622
Mailing address
7733 W EMERALD ST, BOISE, ID 83704-9020
(208) 376-4265
(208) 939-5010
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-817
ID
363AS0400X
Surgical Physician Assistant
PA-817
ID
Other
Enumeration date
09/25/2009
Last updated
02/09/2021
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