Search › Idaho › 363A00000X
Shannon Thistle, PA-C
NPI 1871603902 · on the registry since 2006
Practice
- Address
- 700 W Ironwood Dr Ste 320
Coeur D Alene, ID 83814 - Phone
- (208) 625-5250
- Fax
- (208) 625-5251
- Organisation at this address
- Element Dental Pllc
Ideal Family Dental
Kootenai Health, Inc.
Kootenai Health, Inc.
Interlake Pharmacy IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 191
Additional practice sites
- 1201 S Miller St, Wenatchee, WA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
363AM0700X - Licence states on file
- WA, PA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho