Individual
KLAAS VANDEN BELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3277 E. LOUISE DR., PORTICO WEST, SUITE 410, MERIDIAN, ID 83642
(208) 489-5800
(208) 489-4065
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
55455
ID
Other
Enumeration date
05/10/2017
Last updated
04/22/2024
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