Individual
GLORIA M BEERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AS, BSN, FNP
Contact information
Practice address
1545 E LEIGHFIELD DR, SUITE 100, MERIDIAN, ID 83646-5371
(208) 855-2710
(208) 855-0883
Mailing address
1545 E LEIGHFIELD DR, SUITE 100, MERIDIAN, ID 83646-5371
(208) 855-2710
(208) 855-0883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP122A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010016742
BLUE SHIELD
ID
01
—
NPGC7
BLUE CROSS
ID
Enumeration date
05/19/2006
Last updated
10/08/2013
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