| 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 |