P Praxis·MD
● Active Type 1 · Individual

MS. Shirley Edna Vanzandt, CRNP

Nurse Practitioner·Meridian, ID· NPI 1700076312 · Enumerated 2007 · 18 years on NPI
Vanzandt is 1 of 3 nurse practitioner providers in Meridian and 1 of 56 in Idaho.
NPI age
18 years
Enumerated 2007-07-30
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, MD
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-11-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 56 active nurse practitioner providers in Idaho.

NPI age
18 years
↑ 5 yr above median (13 yr)
State licenses
2 states
Top 64% — 35% of peers are multi-state
Subspecialties
0
66% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Practice location
3025 W Cherry Lane, Ste B
Meridian, ID 836428531
📞 2083026400fax 2083026455
Mailing address
3340 E Goldstone Way
Meridian, ID 836421026
📞 2083026400fax 2083026455

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP-1394AMD license #R090943 taxonomy 363LA2200X

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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