MRS. Colleen M Shackelford, NP is a family nurse practitioner in Boise, ID. MRS. Colleen M Shackelford, NP NPI is 1104107317. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
300 E BANNOCK ST
BOISE, ID
ZIP 83712-207
Phone: (208) 342-7400
Fax: (208) 342-1879
The NPI 1104107317 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/31/2011 and was last updated on 10/4/2018.