IndividualActive
Brenna Shackelford, MD
NPI 1033377833 · Hospice and Palliative Medicine (Emergency Medicine) Physician · Meridian, ID
Provider details
- NPI number
- 1033377833
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD19340 (HI)
Practice location
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
Registry dates
- Enumerated
- 2008-05-28
- Last updated
- 2024-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.