Tricia A Beveridge NP

NPI 1295053189 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1295053189
Gender Female
Enumeration Date 05/17/2010
Last Updated 12/08/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
100 E IDAHO ST
STE 300
BOISE ID, 83712-6267, US
Phone (208) 381-7370
Fax
Business Location
190 E BANNOCK ST
BOISE ID, 83712-6241, US
Phone (208) 706-8449
Fax (208) 367-5180
Toxanomy
Taxonomy Code 363LF0000X
License State Idaho
License Number 21529A
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According to our database, Ms. Tricia A Beveridge NP NPI is 1295053189, taxonomy code is 363LF0000X and license number is 21529A, license state is located at Idaho. Tricia A Beveridge NP physically located at 100 E Idaho St, Boise ID, 83712-6267. NPI Number Tricia A Beveridge NP has the Individual type.

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1295053189 NPI number is provided on an as is basis without warranty of any kind. 1295053189 is maintained by the National Plan & Provider Enumeration System. The contents of Tricia A Beveridge NP are for informational purposes only.