IndividualActive
Shaundra Fontaine, RN, APRN, CNM
NPI 1619375110 · Advanced Practice Midwife · Boise, ID
Provider details
- NPI number
- 1619375110
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, APRN, CNM
- Sex
- Female
- Sole proprietor
- No
- License
- A-80 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
207 W Washington St
Boise, ID 83702-5989
Phone: (208) 343-2079
Fax: (208) 343-6828
Approximate (ZIP-level) locationGet directions
Mailing address
207 W Washington St
Boise, ID 83702-5989
Registry dates
- Enumerated
- 2014-12-15
- Last updated
- 2015-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.