Robert Paul Shanks, FNP | |
315 E Elm St Ste 100, Caldwell, ID 83605-4858 | |
(208) 302-7150 | |
(208) 302-7192 |
Full Name | Robert Paul Shanks |
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Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 315 E Elm St Ste 100, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861029159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 202000267NP-PP (Oregon) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | NP-75863 (Idaho) | Primary |
Entity Name | Grande Ronde Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
Entity Name | Grande Ronde Hospital Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20061104000155 |
Mailing Address | Practice Location Address |
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Robert Paul Shanks, FNP Po Box 190930, Boise, ID 83719-0930 Ph: (082) 367-5170 | Robert Paul Shanks, FNP 315 E Elm St Ste 100, Caldwell, ID 83605-4858 Ph: (208) 302-7150 |
Cynthia Jane Floyd, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15076 Plum Rd, Caldwell, ID 83607 Phone: 208-830-5560 | |
Matthew Fowler, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 E Logan St Ste 301, Caldwell, ID 83605 Phone: 208-649-4315 Fax: 208-649-4513 | |
Ashley Fae White, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-4641 | |
Mrs. Deborah Lee Sullivan, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 E Logan St, Suite 105, Caldwell, ID 83605 Phone: 208-454-0567 Fax: 208-402-6635 | |
Lynette Joy Ages, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 S 10th Ave Ste 200, Caldwell, ID 83605 Phone: 208-453-6417 Fax: 208-453-6419 | |
Robert Slade Thacker, APRN CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Ste. 230, Caldwell, ID 83605 Phone: 208-459-4667 | |
Crystal Gail Belcourt, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1620 S Kimball Ave, Caldwell, ID 83605 Phone: 208-505-2950 Fax: 208-505-2955 |