Elder, Becky M.

Elder, Becky M. is an individual health care provider with primary practice located at 1072 N Liberty St Ste 100 , Boise ID 83704-8708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Elder, Becky M. can be contacted via phone (208) 302-1200.

Contact Information

Primary practice address
1072 N Liberty St Ste 100 Boise ID 83704-8708
Phone: (208) 302-1200
Fax: (208) 302-1255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP459A Idaho

Profile Details

NPI number 1417938473
LBN Legal business name Elder, Becky M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Sep 15th, 2022 - about 2 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 1417938473 NPPES
Idaho Other NPGZ4 BLUE CROSS OF ID
Idaho MEDICAID 805737400 BLUE CROSS OF ID

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