Beery, Gloria M
Beery, Gloria M is an sole proprietor health care provider with primary practice located at 1545 E Leighfield Dr Suite 100, Meridian ID 83646-5371. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Beery, Gloria M can be contacted via phone (208) 855-2710.Contact Information
Primary practice address
1545 E Leighfield Dr Suite 100
Meridian ID 83646-5371
Phone: (208) 855-2710
Fax: (208) 855-0883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP122A | Idaho |
Profile Details
| NPI number | 1043263064 |
|---|---|
| LBN Legal business name | Beery, Gloria M |
| Credentials | AS, BSN, FNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Oct 8th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043263064 | NPPES |
| Idaho | Other | NPGC7 | BLUE CROSS |
| Idaho | Other | 000010016742 | BLUE CROSS |
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