Bean, Judi

Bean, Judi is an individual health care provider with primary practice located at 1139 E. Winding Creek Drive , Eagle ID 83616. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bean, Judi can be contacted via phone (208) 938-8887.

Contact Information

Primary practice address
1139 E. Winding Creek Drive Eagle ID 83616
Phone: (208) 938-8887
Fax: (208) 938-8897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP93A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X AP30001704 Washington

Profile Details

NPI number 1477589216
LBN Legal business name Bean, Judi
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Apr 8th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477589216 NPPES
Idaho MEDICAID 805183900

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