LIFESPAN PRIMARY CARE LLC
Nursing at Martin St, Twin Falls, ID

License number
Idaho NP717A
Category
Nursing
Type
Family
Owner
Name: MRS. BEVERLY ANN HALL FNP-C
Title: OWNER
Phone: (208) 736-7090
Address
Address
224 Martin St SUITE B, Twin Falls, ID 83301
National Provider ID: 1023189800
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LIFESPAN PRIMARY CARE LLC at bizstanding.com

LIFESPAN PRIMARY CARE LLC

Twin Falls, ID

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jun 19, 2006
Inactive since:
Jan 19, 2010
Addresses:
550 Polk St, Twin Falls, ID 83301 (Physical)
224 Martin St, Twin Falls, ID 83301
State ID:
W51807
Business type:
LIMITED LIABILITY COMPANY
Fnp-c, Member, Nurse Practitioner, Owner:
Bev Hall Fnp-c, Member, Nurse Practitioner, Owner, inactive
Agent:
Beverly A Hall,603 Un Ave, Filer, ID 83328 (Physical)

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