Individual
SHAYNA STEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10200 W EMERALD ST, BOISE, ID 83704-8900
(208) 327-7411
Mailing address
7 S WHEELER ST, BOISE, ID 83705-1605
(760) 808-0335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
54252
ID
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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