Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWNEE B LEGARRETA, RN
Active Sole ProprietorSHAWNEE B LEGARRETA, RN is a Substance Abuse Rehabilitation Facility healthcare provider located in GOODING, Idaho. NPI 1235533217 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · GOODING, ID
Registration Details
- NPI Number
- 1235533217
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2014 (11.803563365966 yrs)
- Last Updated
- Oct 20, 2014
- License
-
N45891 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
605 11TH AVE EGOODING, ID, 833305368Browse ID providers · Browse ZIP 83330
- Phone
- 2089348461
- Fax
- 2089345437
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
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.