Beaumont, Cheryl L

Beaumont, Cheryl L is an individual health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Beaumont, Cheryl L can be contacted via phone (208) 381-2222.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X NP511 Idaho

Profile Details

NPI number 1184653016
LBN Legal business name Beaumont, Cheryl L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Feb 14th, 2011 - about 13 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 1184653016 NPPES
Idaho Other NP511 IDAHO STATE LICENSE #

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