SHELBY RENEE BRUNSON NPI 1861296485

NPI Information

  • NPI: 1861296485
  • Provider Name: SHELBY RENEE BRUNSON
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 1750 CLEMENTS LN
    REXBURG, ID
    ZIP 83440
  • Phone: (509) 531-2548

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NPI Details

Shelby Renee Brunson is a student in an organized health care education training program in Rexburg, ID. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Shelby Renee Brunson NPI is 1861296485. 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:

1750 CLEMENTS LN
REXBURG, ID
ZIP 83440-352
Phone: (509) 531-2548

The enumeration date for this NPI number is 4/2/2025 and was last updated on 4/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training Program76133IDAHONo
2390200000XStudent in an Organized Health Care Education/Training ProgramRN60557241WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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