SHANNON THISTLE, PA-C
Physician Assistant
Active
Individual
NPI: 1871603902
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | MA058013 (PA) |
| Physician Assistant | 363A00000X | Yes | PA-2265 (ID) |
Frequently Asked Questions
NPI 1871603902 is the National Provider Identifier for SHANNON THISTLE, PA-C, a Physician Assistant provider located in Coeur D Alene, ID. This NPI was enumerated on August 30, 2006.
SHANNON THISTLE, PA-C practices at 700 W IRONWOOD DR STE 320, Coeur D Alene, ID 83814.
Quick Facts
- NPI
- 1871603902
- Type
- Individual
- Enumerated
- Aug 30, 2006
- Last Updated
- Jul 25, 2025
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