NPI 1043480403
Marizza Shoup
Practice location
- Address
- 1358 Albion Ave, Burley, ID 83318-1818
- Phone
- (208) 878-4155
- Fax
- (208) 878-1042
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1043480403
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Mar 2008
- Record last updated
- 1 Mar 2008
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.