Davis, Shelley Leilani
Davis, Shelley Leilani is an individual health care provider with primary practice located at 3614 Washington Pkwy , Idaho Falls ID 83404-7573. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Davis, Shelley Leilani can be contacted via phone (208) 552-7700.Contact Information
Primary practice address
3614 Washington Pkwy
Idaho Falls ID 83404-7573
Phone: (208) 552-7700
Fax: (208) 552-1786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | TLP-014 | Idaho |
Profile Details
| NPI number | 1235568742 |
|---|---|
| LBN Legal business name | Davis, Shelley Leilani |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2013 |
| Last updated | Nov 5th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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