Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BEVERLEY ANN BLAKE ODOHERTY, CFNP
Active Sole ProprietorMRS. BEVERLEY ANN BLAKE ODOHERTY, CFNP is a Family Nurse Practitioner healthcare provider located in TWIN FALLS, Idaho. NPI 1821166539 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · TWIN FALLS, ID
Registration Details
- NPI Number
- 1821166539
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2006 (19.657001164741 yrs)
- Last Updated
- Sep 9, 2024
- Licenses
-
RN172038 (CO)NP925A (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
801 POLE LINE RD WTWIN FALLS, ID, 833015810Browse ID providers · Browse ZIP 83301
- Phone
- 2088144100
- Fax
- 2088144908
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. JOANN W RULIEN | NP | 1750377313 |
| MR. DREW BRADLEY SIMMONS | NP | 1265428635 |
| MS. JAMI LYNN STROUD | MS, RN, FNPC | 1376597559 |
| MS. KATHRYN DEVANEY | FNP-C, PMHNP-BC | 1285672378 |
| LORA K ROBERTS | N.P. | 1134163397 |
| TARYNA J GOODMAN | NP | 1104928878 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.