Shining Lite Weight Management & Personal Solutions, LLC
NPI #1326605429 in Garden City, Idaho
Provider Information
- NPI Number
- 1326605429
- Entity Type
- Organization
- Organization Name
- Shining Lite Weight Management & Personal Solutions, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- May 23, 2019
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 4483 N DRESDEN PL STE 102
- City
- Garden City
- State
- Idaho
- ZIP Code
- 83714-5092
- Phone
- (208) 639-2333
Authorized Official
- Name
- TAMARA F BETHEL, DNP, APRN, FNP
- Title
- MEMBER/PROVIDER
- Phone
- (208) 639-2333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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