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MRS. BEVERLEY ANN BLAKE ODOHERTY CFNP

CFNP

Family Nurse Practitioner

NPI: 1821166539IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse Practitioner

Nurse Practitioner

Code: 363L00000X

RN172038(CO)
Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

NP925A(ID)

Education

OTHER

Class of 1996

Contact & Hours

Via CEP AMERICA LLC · 2 locations total

Address
777 HOSPITAL WAY
POCATELLO, ID 83201

Quick Facts

NPI
1821166539
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
30

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