IndividualActive
A Teresa Gabiola Shelton, PA
NPI 1134401326 · Medical Physician Assistant · Boise, ID
Provider details
- NPI number
- 1134401326
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8075898-1206 (UT)
Practice location
6051 W Emerald St
Boise, ID 83704-8969
Phone: (208) 302-5150
Fax: (208) 302-5155
Mailing address
3340 E Goldstone Dr
Meridian, ID 83642-1026
Registry dates
- Enumerated
- 2011-09-13
- Last updated
- 2022-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.