MS. Beth Elaine Landis, NP

NPI #1013915164 in Eagle, Idaho

Provider Information

NPI Number
1013915164
Entity Type
Individual
Name
MS. Beth Elaine Landis, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Jul 12, 2005
Last Updated
Jul 2, 2010

Practice Location

Address
1540 E RIVERS END CT
City
Eagle
State
Idaho
ZIP Code
83616-6390
Phone
(208) 939-6030

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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