Lifespan Primary Care LLC
NPI #1023189800 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1023189800
- Entity Type
- Organization
- Organization Name
- Lifespan Primary Care LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 224 MARTIN ST
- Address 2
- SUITE B
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-4542
- Phone
- (208) 736-7090
Authorized Official
- Name
- MRS. BEVERLY ANN HALL, FNP-C
- Title
- OWNER
- Phone
- (208) 736-7090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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