Organization
BEE HAPPY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A HILL CPNP (NURSE PRACTITIONER)
(208) 497-0680
Entity
Organization
Contact information
Practice address
3412 S 25TH E, IDAHO FALLS, ID 83404-4967
(208) 497-0680
(208) 497-0650
Mailing address
3412 S 25TH E, IDAHO FALLS, ID 83404-4967
(208) 497-0680
(208) 497-0650
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
57138
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790291276
—
ID
Enumeration date
12/20/2017
Last updated
01/19/2021
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