MRS. BEVERLEY BLAKE ODOHERTY, CFNP

Nurse Practitioner - Family

Active Individual
NPI: 1821166539

Practice Address

801 POLE LINE RD W
Twin Falls, ID 83301

Phone: (208) 814-4100

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No RN172038 (CO)
Nurse Practitioner - Family 363LF0000X Yes NP925A (ID)

Frequently Asked Questions

NPI 1821166539 is the National Provider Identifier for MRS. BEVERLEY BLAKE ODOHERTY, CFNP, a Nurse Practitioner - Family provider located in Twin Falls, ID. This NPI was enumerated on December 1, 2006.
MRS. BEVERLEY BLAKE ODOHERTY, CFNP practices at 801 POLE LINE RD W, Twin Falls, ID 83301.

Quick Facts

NPI
1821166539
Type
Individual
Enumerated
Dec 1, 2006
Last Updated
Sep 9, 2024

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