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Mrs. Beverley Ann Blake Odoherty, CFNP
Family Nurse Practitioner in Twin Falls, Idaho
NPI 1821166539

Beverley Ann Blake Odoherty is a Family Nurse Practitioner based in Boise, ID and is specialized in Family. Beverley Ann Blake Odoherty practices in Twin Falls, ID and has the professional credentials of CFNP. The NPI Number for Beverley Ann Blake Odoherty is 1821166539 and holds a License No. RN172038 (Idaho).

The current practice location address for Beverley Ann Blake Odoherty is 801 Pole Line Rd W, Twin Falls, ID and can be reached out via phone at 208-814-4100 and via fax at 208-814-4908.

Location: 801 Pole Line Rd W, Twin Falls, ID, 83712-6241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821166539
Provider Name
Beverley Ann Blake Odoherty
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
801 Pole Line Rd W, Twin Falls, ID, 83712-6241
Phone Number
208-814-4100
Fax Number
208-814-4908
Provider Enumeration Date
12/01/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16301862 05 CO
institution
Provider Business Practice Location Address Details
Address
801 Pole Line Rd W
City
Twin Falls
State
Idaho
Zip
83301-5810
Phone Number
208-814-4100
Fax Number
208-814-4908
person
Provider Business Mailing Address Details
Address
801 Pole Line Rd W
City
Twin Falls
State
Idaho
Zip
83301-5810
Phone Number
208-814-4100
Fax Number
208-814-4908
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NP925A (Idaho)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN172038 (Colorado)
Definition
Definition to come...
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