NPI

Madelein C Shafferman

NPI 1124502216

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
NMD
Type
Individual
Enumeration date
2018-09-24
Last updated
2022-11-14

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Specialties

Licenses

License AZ
18-1731
License ID
NMD-0045

Location

Practice location
6901 W Emerald St Ste 203
City
Boise ID
Postal code
83704-8660
Phone
(208) 806-1332

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Boise, ID. 12,208 records in the public file.

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