Landis, Beth Elaine
Landis, Beth Elaine is an individual health care provider with primary practice located at 1540 E Rivers End Ct , Eagle ID 83616-6390. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Landis, Beth Elaine can be contacted via phone (208) 939-6030.Contact Information
Primary practice address
1540 E Rivers End Ct
Eagle ID 83616-6390
Phone: (208) 939-6030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | N-34045 | Idaho |
Profile Details
| NPI number | 1013915164 |
|---|---|
| LBN Legal business name | Landis, Beth Elaine |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jul 2nd, 2010 - about 14 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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