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Individual

MRS. SHELLY ANN ABELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4511 ZEBE AVE, CHUBBUCK, ID 83202-4707
(208) 904-4780
(208) 904-4832
Mailing address
4511 ZEBE AVE, CHUBBUCK, ID 83202-4707
(208) 904-4780
(208) 904-4832

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
73326
ID
363LA2100X
Acute Care Nurse Practitioner
Primary
73326
ID

Other

Enumeration date
07/04/2022
Last updated
04/18/2024
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