Maze, Bethany Kendall

Maze, Bethany Kendall is an individual health care provider with primary practice located at 6051 W Emerald St , Boise ID 83704-8969. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Maze, Bethany Kendall can be contacted via phone (208) 302-5150.

Contact Information

Primary practice address
6051 W Emerald St Boise ID 83704-8969
Fax: (208) 302-5155
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 60785 Idaho

Profile Details

NPI number 1053180976
LBN Legal business name Maze, Bethany Kendall
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2023
Last updated Jan 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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