Organization
SONSHINE FAMILY HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA FAYE BETHEL FNP (MEMBER)
(208) 375-8806
Entity
Organization
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
05/23/2007
Last updated
08/22/2020
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