BETH ELAINE LANDIS

EAGLE, ID
NPI1013915164
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  N-34045)
Enumeration Date2005-07-12
Last Update Date2010-07-02
Business Address
Ms. BETH ELAINE LANDIS NP
1540 E RIVERS END CT
EAGLE, ID 83616-6390
Phone number: 208-939-6030
Mailing Address
Ms. BETH ELAINE LANDIS NP
1540 E RIVERS END CT
EAGLE, ID 83616-6390
Phone number: 208-939-6030