Individual
TAMARA FAYE BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2308 N COLE RD STE H, BOISE, ID 83704-7361
(208) 375-8806
(208) 375-8826
Mailing address
2308 N COLE RD STE H, BOISE, ID 83704-7361
(208) 375-8806
(208) 375-8826
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP524A
ID
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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