SHANNON C. THISTLE

COEUR D ALENE, ID
NPI1871603902
Former NameSHANNON C MILLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2265)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: WA  PA61086741)
363AM0700X Physician Assistant, Medical
(Licence: PA  MA058013)
Enumeration Date2006-08-30
Last Update Date2025-07-25
Business Address
SHANNON C. THISTLE PA-C
700 W IRONWOOD DR STE 320
COEUR D ALENE, ID 83814-4485
Phone number: 208-625-5250
Mailing Address
SHANNON C. THISTLE PA-C
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-5084