BETHANY KENDALL MAZE

BOISE, ID
NPI1053180976
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  60785)
Enumeration Date2023-12-20
Last Update Date2024-01-25
Business Address
BETHANY KENDALL MAZE FNP
6051 W EMERALD ST
BOISE, ID 83704-8969
Phone number: 208-302-5150
Mailing Address
BETHANY KENDALL MAZE FNP
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170