Individual
KYLA ASHLEY SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3520 E LOUISE DR, MERIDIAN, ID 83642-6304
(208) 888-0909
Mailing address
102 W INDIAN ROCKS ST, MERIDIAN, ID 83646-4981
(530) 966-4407
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
54466
ID
Other
Enumeration date
03/19/2021
Last updated
02/10/2023
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