Individual
TAVNIAH LEIGH BETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
1072 N LIBERTY ST STE 100, BOISE, ID 83704-8708
(208) 302-1200
(208) 302-1255
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
57-049
WI
176B00000X
Midwife
6471049
ID
Other
Enumeration date
05/01/2012
Last updated
02/26/2025
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