Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shelly Crane, AGNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1104465558

Shelly Crane, AGNP-C is a Primary Care Nurse Practitioner in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020

Practice location Address checks out

915 W Emma Ave
Coeur D Alene, ID 83814-2531
Phone: (208) 791-3391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 39760 (ID)

Record details

NPI number1104465558
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJanuary 2, 2020
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020

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