IndividualActive
Shelly Crane, AGNP-C
NPI 1104465558 · Primary Care Nurse Practitioner · Coeur D Alene, ID
Provider details
- NPI number
- 1104465558
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 39760 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
915 W Emma Ave
Coeur D Alene, ID 83814-2531
Phone: (208) 791-3391
Approximate (ZIP-level) locationGet directions
Mailing address
2900 N Government Way # 294
Coeur D Alene, ID 83815-3751
Registry dates
- Enumerated
- 2020-01-02
- Last updated
- 2020-01-02
- Certified
- 2020-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.