NPI age
19 years
Enumerated 2007-02-28
● Active
Type 1 · Individual
MRS. Shannon L Gardiner, PA
Gardiner is 1 of 14 physician assistant providers in Meridian and 1 of 97 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 97 active physician assistant providers in Idaho.
NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
1
In the 56% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
875 S Vanguard Way Ste 200
Meridian, ID 836428542
Mailing address
Po Box 191050
Boise, ID 837191050
Additional practice locations
1 secondary location on file with NPPES.
Location 2
360 E Montvue Dr, Suite 100
Meridian, ID 836426318
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806483300 |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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