Shauna Rankin, | |
27591 Petolla Rd, Wilder, ID 83676-5740 | |
(208) 375-8427 | |
Not Available |
Full Name | Shauna Rankin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 27591 Petolla Rd, Wilder, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740928837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 72982 (Idaho) | Primary |
Entity Name | Alliance Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568413920 PECOS PAC ID: 3971544685 Enrollment ID: O20050512000561 |
Entity Name | All Horizons Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285767574 PECOS PAC ID: 0345377958 Enrollment ID: O20100429000652 |
Entity Name | Signify Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210309003127 |
Mailing Address | Practice Location Address |
---|---|
Shauna Rankin, 27591 Petolla Rd, Wilder, ID 83676-5740 Ph: (208) 375-8427 | Shauna Rankin, 27591 Petolla Rd, Wilder, ID 83676-5740 Ph: (208) 375-8427 |
Shaina Leeann Lonai, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 124 5th St, Wilder, ID 83676 Phone: 208-482-7430 | |
Rebecca Lee Guy, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 5th St Ste A, Wilder, ID 83676 Phone: 208-482-7430 Fax: 208-482-7272 |