IndividualActive
Robert Shanks, FNP
NPI 1861029159 · Acute Care Nurse Practitioner · Caldwell, ID
Provider details
- NPI number
- 1861029159
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- License
- 202000267NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
315 E Elm St Ste 100
Caldwell, ID 83605-4858
Phone: (208) 302-7150
Fax: (208) 302-7192
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Additional practice locations (2)
- 215 E Hawaii AveNampa, ID 83686-6011Phone: (208) 463-3000
- 900 Sunset DrLa Grande, OR 97850-1387Phone: (541) 963-8421Fax: (541) 963-1488
Registry dates
- Enumerated
- 2020-03-25
- Last updated
- 2024-02-29
- Certified
- 2024-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.