IndividualActive
Shirley Vanzandt, CRNP
NPI 1700076312 · Adult Health Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1700076312
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- R090943 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3025 W Cherry Lane
Ste B
Meridian, ID 83642-8531
Phone: (208) 302-6400
Fax: (208) 302-6455
Approximate (ZIP-level) locationGet directions
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Registry dates
- Enumerated
- 2007-07-30
- Last updated
- 2016-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.