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Individual

MS. JUDI BEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1139 E. WINDING CREEK DRIVE, EAGLE, ID 83616
(208) 938-8887
(208) 938-8897
Mailing address
1502 E REGATTA ST, BOISE, ID 83706-6323

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP93A
ID
364SF0001X
Family Health Clinical Nurse Specialist
AP30001704
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
805183900
ID
Enumeration date
06/23/2006
Last updated
04/08/2013
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