Individual
RACHEL BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1072 N LIBERTY ST STE 200, BOISE, ID 83704-8963
(208) 302-5800
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642
(208) 302-4600
(208) 302-4655
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
59580
ID
Other
Enumeration date
01/08/2019
Last updated
02/06/2019
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