Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWNA MARIE REYNOLDS, PA
ActiveSHAWNA MARIE REYNOLDS, PA is a Physician Assistant healthcare provider located in BLACKFOOT, Idaho. NPI 1023260783 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BLACKFOOT, ID
Registration Details
- NPI Number
- 1023260783
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2008 (17.645686170813 yrs)
- Last Updated
- Apr 23, 2012
- Licenses
-
PA-778 (ID)PA778 (ID)
Practice Information
- Address
-
1441 PARKWAY DRBLACKFOOT, ID, 832210000Browse ID providers · Browse ZIP 83221
- Phone
- 2087852600
- Fax
- 2087851762
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| DEBRA ERRAMOUSPE | PA | 1144264532 |
| RHONDA GRANDEE | PA | 1184668139 |
| HEATHER FAYE GRIMMETT | PA | 1073792586 |
| ASHLEY NICHOLE THOMAS | PA-C | 1740590314 |
| JULIA MCGEE | PA-C | 1326347972 |
| JOHN TODD ALLEN | PA-C | 1003168899 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.