Whalio Doctors

NPI 1033377833

Brenna Mae Shackelford, MD

Practitioner Hospice and Palliative Medicine (Emergency Medicine) Physician Meridian, ID

Practice location

Address
520 S Eagle Rd STE 3102, Meridian, ID 83642-6352
Phone
(208) 381-1615
Fax
(208) 381-5141
Mailing address
190 E Bannock St, Boise, ID 83712-6241

Registered specialties (7)

Hospice and Palliative Medicine (Emergency Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207PH0002X Licence M-15461 (ID)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD19340 (HI)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 01067626A (IN)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 23824 (NV)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence A133488 (CA)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence M15461 (ID)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1033377833
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 May 2008
Record last updated
6 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.