Organization
GLORIA M BEERY, CNP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN LEWIS (MANAGER)
(208) 955-8215
Entity
Organization
Contact information
Practice address
1545 E LEIGHFIELD DR, SUITE 100, MERIDIAN, ID 83646-5371
(208) 855-2710
Mailing address
1545 E LEIGHFIELD DR, SUITE 100, MERIDIAN, ID 83646-5371
(208) 855-2710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP122A
ID
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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