Doctor Name: | MS. BEVERLY A SCHIFFLER |
NPI Number: | 1043290414 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | NP-619A |
Business Practice Address: | 112 S Plymouth Ave New Plymouth, ID - 836555523 |
Business Phone Number: | 2082783406 |
Business Fax Number: | 2082783418 |
Mailing Address: | 4074 S Iriondo Way, BOISE |
State: | ID |
Postal Code: | 837065784 |
Phone Number: | 2084269112 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP-619A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |