Mello, Bethany Joy

Mello, Bethany Joy is an individual health care provider with primary practice located at 951 E Plaza Dr Ste 170 , Eagle ID 83616-6569. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mello, Bethany Joy can be contacted via phone (208) 939-3505.

Contact Information

Primary practice address
951 E Plaza Dr Ste 170 Eagle ID 83616-6569
Phone: (208) 939-3505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1639A Idaho
Nursing Service Providers / Registered Nurse 163W00000X 51084 Idaho

Profile Details

NPI number 1033479696
LBN Legal business name Mello, Bethany Joy
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2012
Last updated Jan 14th, 2016 - about 8 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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